KEVIN ANDERSON
Dependent on policy B03M000767
Claims
3
Attributed to this person
Charged
1,710.00
Total submitted
Denied
582.00
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 | KEVIN ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000767 |
| Date of birth | 22 Jun 1991 |
| Plan | SILVER HMO |
| Covered from | 12 Jul 2024 |
| Covered to | 27 Sep 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 |
|---|---|---|---|---|---|
| CLM0003235 | 25 Nov 2024 | 582.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 582.00 |
| CLM0003237 | 24 Oct 2024 | 755.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003236 | 10 Aug 2024 | 373.00 | MERIDIAN HEALTH PLAN | Not denied | — |