LEILA PATEL
Dependent on policy B01M000383
Claims
1
Attributed to this person
Charged
454.00
Total submitted
Denied
17.92
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 | LEILA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000383 |
| Date of birth | 22 Jul 2022 |
| Plan | GOLD PPO |
| Covered from | 16 Mar 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 |
|---|---|---|---|---|---|
| CLM0001706 | 25 Sep 2025 | 454.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 17.92 |