PRIYA USMAN
Subscriber on policy B02M000745
Claims
2
Attributed to this person
Charged
1,148.00
Total submitted
Denied
554.00
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 | PRIYA USMAN |
| Role on the policy | Subscriber |
| Policy | B02M000745 |
| Date of birth | 10 Oct 1987 |
| Plan | SILVER HMO |
| Covered from | 5 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 |
|---|---|---|---|---|---|
| CLM0003120 | 26 Sep 2025 | 554.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 554.00 |
| CLM0003119 | 4 Aug 2025 | 594.00 | MERIDIAN HEALTH PLAN | Not denied | — |