RAVI USMAN
Dependent on policy B02M000860
Claims
3
Attributed to this person
Charged
1,839.00
Total submitted
Denied
158.61
1 denied claims
Patient responsibility
49.35
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 | RAVI USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000860 |
| Date of birth | 24 Aug 2003 |
| Plan | PLATINUM PPO |
| Covered from | 8 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 49.35 |
| Total | 49.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003586 | 12 May 2026 | 853.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003585 | 26 Mar 2026 | 657.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 158.61 |
| CLM0003584 | 23 Jul 2025 | 329.00 | MERIDIAN HEALTH PLAN | Not denied | — |