HENRY PATEL
Subscriber on policy B02M000226
Claims
2
Attributed to this person
Charged
1,129.00
Total submitted
Denied
475.00
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 | HENRY PATEL |
| Role on the policy | Subscriber |
| Policy | B02M000226 |
| Date of birth | 4 Jan 2004 |
| Plan | BRONZE EPO |
| Covered from | 26 Sep 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 |
|---|---|---|---|---|---|
| CLM0000982 | 27 Mar 2025 | 475.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 475.00 |
| CLM0000981 | 8 Mar 2025 | 654.00 | MERIDIAN HEALTH PLAN | Not denied | — |