DAVID ANDERSON
Subscriber on policy B02M000430
Claims
2
Attributed to this person
Charged
977.00
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 | DAVID ANDERSON |
| Role on the policy | Subscriber |
| Policy | B02M000430 |
| Date of birth | 31 Aug 2002 |
| Plan | SILVER HMO |
| Covered from | 27 Mar 2024 |
| Covered to | 5 Jan 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 |
|---|---|---|---|---|---|
| CLM0001836 | 14 May 2024 | 192.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001837 | 9 May 2024 | 785.00 | MERIDIAN HEALTH PLAN | Not denied | — |