GRACE PATEL
Subscriber on policy B10M000566
Claims
3
Attributed to this person
Charged
411.00
Total submitted
Denied
145.00
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | GRACE PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000566 |
| Date of birth | 3 Aug 1998 |
| Plan | SILVER HMO |
| Covered from | 8 Dec 2024 |
| Covered to | 17 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002343 | 1 Apr 2025 | 76.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002342 | 18 Feb 2025 | 190.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002341 | 12 Dec 2024 | 145.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 145.00 |