VICTOR CHEN
Dependent on policy B01M000488
Claims
2
Attributed to this person
Charged
241.00
Total submitted
Denied
241.00
2 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 | VICTOR CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000488 |
| Date of birth | 25 Aug 2014 |
| Plan | BRONZE EPO |
| Covered from | 13 Jun 2025 |
| Covered to | 11 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002176 | 30 Nov 2025 | 76.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 76.00 |
| CLM0002177 | 4 Nov 2025 | 165.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 165.00 |