BRIAN JOHNSON
Subscriber on policy B03M000343
Claims
2
Attributed to this person
Charged
776.00
Total submitted
Denied
149.00
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 | BRIAN JOHNSON |
| Role on the policy | Subscriber |
| Policy | B03M000343 |
| Date of birth | 14 Sep 1982 |
| Plan | BRONZE EPO |
| Covered from | 18 May 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 |
|---|---|---|---|---|---|
| CLM0001385 | 16 Sep 2025 | 149.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 149.00 |
| CLM0001386 | 27 Apr 2025 | 627.00 | MERIDIAN HEALTH PLAN | Not denied | — |