OMAR ANDERSON
Dependent on policy B02M000741
Claims
3
Attributed to this person
Charged
1,194.00
Total submitted
Denied
939.00
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 | OMAR ANDERSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000741 |
| Date of birth | 17 Aug 1993 |
| Plan | GOLD PPO |
| Covered from | 8 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003100 | 8 Mar 2026 | 365.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 365.00 |
| CLM0003098 | 4 Feb 2026 | 574.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 574.00 |
| CLM0003099 | 9 May 2025 | 255.00 | MERIDIAN HEALTH PLAN | Not denied | — |