HENRY JOHNSON
Subscriber on policy B03M000795
Claims
3
Attributed to this person
Charged
1,830.00
Total submitted
Denied
666.00
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 | HENRY JOHNSON |
| Role on the policy | Subscriber |
| Policy | B03M000795 |
| Date of birth | 25 Jan 1971 |
| Plan | PLATINUM PPO |
| Covered from | 15 Nov 2024 |
| Covered to | 13 Aug 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003392 | 6 Aug 2025 | 573.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003393 | 13 Mar 2025 | 666.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 666.00 |
| CLM0003391 | 30 Nov 2024 | 591.00 | MERIDIAN HEALTH PLAN | Not denied | — |