AMARA ANDERSON
Dependent on policy B02M000270
Claims
2
Attributed to this person
Charged
889.00
Total submitted
Denied
216.00
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 | AMARA ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000270 |
| Date of birth | 22 Aug 1996 |
| 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 |
|---|---|---|---|---|---|
| CLM0001183 | 3 Dec 2024 | 216.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 216.00 |
| CLM0001182 | 13 Nov 2024 | 673.00 | MERIDIAN HEALTH PLAN | Not denied | — |