IVAN JOHNSON
Subscriber on policy B03M000008
Claims
3
Attributed to this person
Charged
955.00
Total submitted
Denied
200.02
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 | IVAN JOHNSON |
| Role on the policy | Subscriber |
| Policy | B03M000008 |
| Date of birth | 18 Aug 1979 |
| Plan | PLATINUM PPO |
| Covered from | 22 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000045 | 18 Jul 2026 | 251.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000044 | 3 Jun 2026 | 475.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 200.02 |
| CLM0000046 | 25 Aug 2025 | 229.00 | MERIDIAN HEALTH PLAN | Not denied | — |