OMAR GARCIA
Dependent on policy B01M000314
Claims
3
Attributed to this person
Charged
1,704.00
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 | OMAR GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000314 |
| Date of birth | 6 Mar 1951 |
| Plan | SILVER HMO |
| Covered from | 8 Aug 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 |
|---|---|---|---|---|---|
| CLM0001395 | 15 Feb 2026 | 534.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001394 | 21 May 2025 | 757.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001396 | 15 Aug 2024 | 413.00 | MERIDIAN HEALTH PLAN | Not denied | — |