ELENA JOHNSON
Dependent on policy B01M000762
Claims
3
Attributed to this person
Charged
2,094.00
Total submitted
Denied
0.00
0 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 | ELENA JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000762 |
| Date of birth | 7 May 2022 |
| Plan | GOLD PPO |
| Covered from | 28 Oct 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003396 | 18 Mar 2026 | 744.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003395 | 12 Oct 2025 | 833.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003394 | 22 Dec 2024 | 517.00 | MERIDIAN HEALTH PLAN | Not denied | — |