PRIYA USMAN
Dependent on policy B01M000514
Claims
1
Attributed to this person
Charged
486.00
Total submitted
Denied
486.00
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 | PRIYA USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000514 |
| Date of birth | 21 Oct 1980 |
| Plan | PLATINUM PPO |
| Covered from | 18 Oct 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 |
|---|---|---|---|---|---|
| CLM0002318 | 10 Jun 2026 | 486.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 486.00 |