HENRY PATEL
Subscriber on policy B10M000843
Claims
2
Attributed to this person
Charged
545.00
Total submitted
Denied
455.99
2 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 PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000843 |
| Date of birth | 24 Jul 1975 |
| Plan | PLATINUM PPO |
| Covered from | 12 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003575 | 5 Jul 2026 | 159.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 69.99 |
| CLM0003574 | 10 Nov 2025 | 386.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 386.00 |