FIONA GARCIA
Subscriber on policy B02M000114
Claims
2
Attributed to this person
Charged
1,297.00
Total submitted
Denied
687.00
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 | FIONA GARCIA |
| Role on the policy | Subscriber |
| Policy | B02M000114 |
| Date of birth | 2 Apr 1962 |
| Plan | SILVER HMO |
| Covered from | 16 Apr 2025 |
| Covered to | 6 Dec 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 |
|---|---|---|---|---|---|
| CLM0000516 | 12 Sep 2025 | 610.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000517 | 13 Jul 2025 | 687.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 687.00 |