HENRY ANDERSON
Subscriber on policy B02M000409
Claims
3
Attributed to this person
Charged
1,242.00
Total submitted
Denied
0.00
0 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 ANDERSON |
| Role on the policy | Subscriber |
| Policy | B02M000409 |
| Date of birth | 2 Nov 1988 |
| Plan | BRONZE EPO |
| Covered from | 16 Jun 2024 |
| Covered to | 24 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 |
|---|---|---|---|---|---|
| CLM0001761 | 5 Nov 2024 | 164.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001759 | 28 Oct 2024 | 353.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001760 | 22 Aug 2024 | 725.00 | MERIDIAN HEALTH PLAN | Not denied | — |