LEILA PATEL
Dependent on policy B02M000050
Claims
2
Attributed to this person
Charged
647.00
Total submitted
Denied
219.00
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 | LEILA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000050 |
| Date of birth | 28 Mar 2009 |
| Plan | BRONZE EPO |
| Covered from | 29 Mar 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 |
|---|---|---|---|---|---|
| CLM0000241 | 9 Jun 2025 | 219.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 219.00 |
| CLM0000242 | 11 Dec 2024 | 428.00 | MERIDIAN HEALTH PLAN | Not denied | — |