OMAR JOHNSON
Dependent on policy B03M000536
Claims
3
Attributed to this person
Charged
1,693.00
Total submitted
Denied
547.00
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 | OMAR JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000536 |
| Date of birth | 24 Mar 1962 |
| Plan | PLATINUM PPO |
| Covered from | 18 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 |
|---|---|---|---|---|---|
| CLM0002205 | 1 Mar 2026 | 547.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 547.00 |
| CLM0002204 | 21 Jan 2026 | 512.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002203 | 4 Feb 2025 | 634.00 | MERIDIAN HEALTH PLAN | Not denied | — |