KEVIN ANDERSON
Subscriber on policy B03M000508
Claims
2
Attributed to this person
Charged
524.00
Total submitted
Denied
524.00
2 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 | KEVIN ANDERSON |
| Role on the policy | Subscriber |
| Policy | B03M000508 |
| Date of birth | 18 Mar 1965 |
| Plan | SILVER HMO |
| Covered from | 5 Jun 2024 |
| Covered to | 10 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002095 | 14 Jan 2025 | 180.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 180.00 |
| CLM0002094 | 5 Jan 2025 | 344.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 344.00 |