ELENA JOHNSON
Subscriber on policy B02M000604
Claims
2
Attributed to this person
Charged
1,356.00
Total submitted
Denied
1,024.97
2 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 | ELENA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B02M000604 |
| Date of birth | 29 Feb 1952 |
| Plan | PLATINUM PPO |
| Covered from | 11 Feb 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 |
|---|---|---|---|---|---|
| CLM0002541 | 1 Aug 2026 | 627.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 295.97 |
| CLM0002540 | 22 Jul 2026 | 729.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 729.00 |