RAVI CHEN
Subscriber on policy B03M000417
Claims
2
Attributed to this person
Charged
548.00
Total submitted
Denied
160.00
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 | RAVI CHEN |
| Role on the policy | Subscriber |
| Policy | B03M000417 |
| Date of birth | 15 Jun 1962 |
| Plan | BRONZE EPO |
| Covered from | 24 Mar 2025 |
| Covered to | 12 Dec 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 |
|---|---|---|---|---|---|
| CLM0001697 | 13 Oct 2025 | 160.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 160.00 |
| CLM0001698 | 26 Aug 2025 | 388.00 | MERIDIAN HEALTH PLAN | Not denied | — |