WENDY JOHNSON
Dependent on policy B03M000343
Claims
2
Attributed to this person
Charged
1,020.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
76.95
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 | WENDY JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000343 |
| Date of birth | 23 Jun 1977 |
| Plan | BRONZE EPO |
| Covered from | 18 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 76.95 |
| Total | 76.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001388 | 26 Oct 2025 | 513.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001387 | 19 Feb 2025 | 507.00 | MERIDIAN HEALTH PLAN | Not denied | — |