HENRY USMAN
Dependent on policy B01M000445
Claims
3
Attributed to this person
Charged
1,554.00
Total submitted
Denied
67.01
1 denied claims
Patient responsibility
134.85
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 | HENRY USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000445 |
| Date of birth | 12 Sep 2007 |
| Plan | BRONZE EPO |
| Covered from | 16 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 134.85 |
| Total | 134.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001986 | 14 Jul 2026 | 514.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001985 | 18 Sep 2025 | 899.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001987 | 17 Mar 2025 | 141.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 67.01 |