JULIA PATEL
Dependent on policy B03M000871
Claims
1
Attributed to this person
Charged
495.00
Total submitted
Denied
495.00
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 | JULIA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000871 |
| Date of birth | 11 Dec 1978 |
| Plan | GOLD PPO |
| Covered from | 20 Jun 2025 |
| Covered to | 23 Sep 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 |
|---|---|---|---|---|---|
| CLM0003785 | 21 Nov 2025 | 495.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 495.00 |