VICTOR ANDERSON
Dependent on policy B03M000446
Claims
3
Attributed to this person
Charged
1,161.00
Total submitted
Denied
846.00
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 | VICTOR ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000446 |
| Date of birth | 24 Jul 2006 |
| Plan | GOLD PPO |
| Covered from | 12 Apr 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 |
|---|---|---|---|---|---|
| CLM0001847 | 15 Nov 2024 | 846.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 846.00 |
| CLM0001846 | 13 Jul 2024 | 149.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001845 | 27 May 2024 | 166.00 | MERIDIAN HEALTH PLAN | Not denied | — |