JULIA ANDERSON
Subscriber on policy B02M000270
Claims
1
Attributed to this person
Charged
686.00
Total submitted
Denied
686.00
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 | JULIA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B02M000270 |
| Date of birth | 27 Oct 1990 |
| Plan | GOLD PPO |
| Covered from | 18 Jul 2024 |
| Covered to | 4 Feb 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 |
|---|---|---|---|---|---|
| CLM0001181 | 29 Jun 2024 | 686.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 686.00 |