KEVIN JOHNSON
Subscriber on policy B02M000187
Claims
1
Attributed to this person
Charged
503.00
Total submitted
Denied
503.00
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 | KEVIN JOHNSON |
| Role on the policy | Subscriber |
| Policy | B02M000187 |
| Date of birth | 24 Dec 1998 |
| Plan | BRONZE EPO |
| Covered from | 28 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000823 | 30 Jun 2025 | 503.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 503.00 |