NADIA PATEL
Subscriber on policy B03M000187
Claims
3
Attributed to this person
Charged
1,447.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
420.55
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 | NADIA PATEL |
| Role on the policy | Subscriber |
| Policy | B03M000187 |
| Date of birth | 13 May 1973 |
| Plan | GOLD PPO |
| Covered from | 30 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 420.55 |
| Total | 420.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000763 | 23 Aug 2026 | 506.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000761 | 11 Apr 2026 | 294.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000762 | 31 Mar 2026 | 647.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |