PRIYA CHEN
Subscriber on policy B03M000117
Claims
2
Attributed to this person
Charged
655.00
Total submitted
Denied
655.00
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 | PRIYA CHEN |
| Role on the policy | Subscriber |
| Policy | B03M000117 |
| Date of birth | 30 Jul 1970 |
| Plan | SILVER HMO |
| Covered from | 4 Oct 2024 |
| Covered to | 23 Jun 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 |
|---|---|---|---|---|---|
| CLM0000456 | 19 Mar 2025 | 166.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 166.00 |
| CLM0000457 | 27 Oct 2024 | 489.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 489.00 |