ZARA ANDERSON
Subscriber on policy B01M000451
Claims
3
Attributed to this person
Charged
1,740.00
Total submitted
Denied
384.00
1 denied claims
Patient responsibility
166.20
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 | ZARA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B01M000451 |
| Date of birth | 16 Feb 1952 |
| Plan | GOLD PPO |
| Covered from | 7 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 166.20 |
| Total | 166.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002013 | 10 Mar 2026 | 525.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002012 | 14 Dec 2025 | 831.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002014 | 21 Jun 2024 | 384.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 384.00 |