HENRY ANDERSON
Subscriber on policy B10M000601
Claims
1
Attributed to this person
Charged
643.00
Total submitted
Denied
0.00
0 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 | HENRY ANDERSON |
| Role on the policy | Subscriber |
| Policy | B10M000601 |
| Date of birth | 4 Oct 1970 |
| Plan | GOLD PPO |
| Covered from | 15 Jun 2024 |
| Covered to | 13 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002497 | 26 Jul 2024 | 643.00 | MERIDIAN HEALTH PLAN | Not denied | — |