UMA JOHNSON
Subscriber on policy B01M000485
Claims
1
Attributed to this person
Charged
293.00
Total submitted
Denied
293.00
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 | UMA JOHNSON |
| Role on the policy | Subscriber |
| Policy | B01M000485 |
| Date of birth | 13 Dec 1959 |
| Plan | BRONZE EPO |
| Covered from | 17 Feb 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 |
|---|---|---|---|---|---|
| CLM0002163 | 1 Apr 2026 | 293.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 293.00 |