MARCUS GARCIA
Dependent on policy B02M000566
Claims
1
Attributed to this person
Charged
616.00
Total submitted
Denied
616.00
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 | MARCUS GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000566 |
| Date of birth | 6 Nov 2009 |
| Plan | SILVER HMO |
| Covered from | 10 May 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 |
|---|---|---|---|---|---|
| CLM0002383 | 21 Apr 2024 | 616.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 616.00 |