LEILA GARCIA
Dependent on policy B03M000830
Claims
2
Attributed to this person
Charged
873.00
Total submitted
Denied
873.00
2 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 | LEILA GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000830 |
| Date of birth | 20 Jan 2002 |
| Plan | PLATINUM PPO |
| Covered from | 9 Jan 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 |
|---|---|---|---|---|---|
| CLM0003584 | 17 Apr 2026 | 270.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 270.00 |
| CLM0003585 | 26 Jan 2026 | 603.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 603.00 |