ZARA ANDERSON
Dependent on policy B03M000364
Claims
2
Attributed to this person
Charged
1,107.00
Total submitted
Denied
218.00
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 | ZARA ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000364 |
| Date of birth | 6 Apr 1985 |
| Plan | PLATINUM PPO |
| Covered from | 14 Feb 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 |
|---|---|---|---|---|---|
| CLM0001482 | 7 Feb 2026 | 889.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001481 | 1 Feb 2024 | 218.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 218.00 |