CARLA JOHNSON
Dependent on policy B03M000768
Claims
1
Attributed to this person
Charged
655.00
Total submitted
Denied
0.00
0 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 | CARLA JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000768 |
| Date of birth | 18 Apr 2021 |
| Plan | PLATINUM PPO |
| Covered from | 15 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003243 | 4 Aug 2026 | 655.00 | MERIDIAN HEALTH PLAN | Not denied | — |