JULIA JOHNSON
Subscriber on policy B01M000648
Claims
3
Attributed to this person
Charged
1,186.00
Total submitted
Denied
419.00
1 denied claims
Patient responsibility
15.00
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 JOHNSON |
| Role on the policy | Subscriber |
| Policy | B01M000648 |
| Date of birth | 31 Jul 1951 |
| Plan | GOLD PPO |
| Covered from | 30 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002889 | 28 Aug 2025 | 419.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 419.00 |
| CLM0002888 | 1 Jun 2025 | 108.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002887 | 21 Jan 2025 | 659.00 | MERIDIAN HEALTH PLAN | Not denied | — |