YUSUF GARCIA
Dependent on policy B01M000004
Claims
2
Attributed to this person
Charged
991.00
Total submitted
Denied
656.00
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 | YUSUF GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000004 |
| Date of birth | 23 Oct 1975 |
| Plan | GOLD PPO |
| Covered from | 30 Mar 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 |
|---|---|---|---|---|---|
| CLM0000012 | 26 Jul 2025 | 656.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 656.00 |
| CLM0000011 | 8 Jul 2025 | 335.00 | MERIDIAN HEALTH PLAN | Not denied | — |