CARLA USMAN
Dependent on policy B01M000514
Claims
3
Attributed to this person
Charged
1,315.00
Total submitted
Denied
222.91
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 | CARLA USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000514 |
| Date of birth | 20 Jun 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 |
|---|---|---|---|---|---|
| CLM0002321 | 22 Jul 2025 | 720.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 222.91 |
| CLM0002319 | 5 Apr 2025 | 517.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002320 | 7 Feb 2025 | 78.00 | MERIDIAN HEALTH PLAN | Not denied | — |