TOMAS USMAN
Dependent on policy B02M000188
Claims
2
Attributed to this person
Charged
586.00
Total submitted
Denied
210.00
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 | TOMAS USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000188 |
| Date of birth | 23 Jun 1987 |
| Plan | PLATINUM PPO |
| Covered from | 30 Jan 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 |
|---|---|---|---|---|---|
| CLM0000830 | 6 Jul 2026 | 376.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000831 | 29 May 2025 | 210.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 210.00 |