PRIYA PATEL
Dependent on policy B01M000605
Claims
2
Attributed to this person
Charged
450.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
16.60
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 | PRIYA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000605 |
| Date of birth | 11 Jun 2022 |
| Plan | GOLD PPO |
| Covered from | 13 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 16.60 |
| Total | 16.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002693 | 6 May 2025 | 367.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002694 | 3 Jul 2024 | 83.00 | MERIDIAN HEALTH PLAN | Not denied | — |