YUSUF PATEL
Subscriber on policy B10M000886
Claims
1
Attributed to this person
Charged
300.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
45.00
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 | YUSUF PATEL |
| Role on the policy | Subscriber |
| Policy | B10M000886 |
| Date of birth | 25 Jul 1953 |
| Plan | SILVER HMO |
| Covered from | 24 Nov 2024 |
| Covered to | 7 Jul 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 45.00 |
| Total | 45.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003768 | 27 Nov 2024 | 300.00 | MERIDIAN HEALTH PLAN | Not denied | — |