BRIAN CHEN
Dependent on policy B03M000787
Claims
3
Attributed to this person
Charged
679.00
Total submitted
Denied
290.00
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 | BRIAN CHEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000787 |
| Date of birth | 26 Feb 2008 |
| Plan | PLATINUM PPO |
| Covered from | 27 Jul 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 |
|---|---|---|---|---|---|
| CLM0003350 | 24 May 2025 | 92.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003351 | 24 Feb 2025 | 290.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 290.00 |
| CLM0003352 | 29 Sep 2024 | 297.00 | MERIDIAN HEALTH PLAN | Not denied | — |