JULIA GARCIA
Dependent on policy B01M000597
Claims
1
Attributed to this person
Charged
831.00
Total submitted
Denied
360.47
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 | JULIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000597 |
| Date of birth | 25 Aug 1997 |
| Plan | BRONZE EPO |
| Covered from | 7 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 |
|---|---|---|---|---|---|
| CLM0002661 | 22 May 2025 | 831.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 360.47 |