YUSUF SMITH
Subscriber on policy B01M000786
Claims
3
Attributed to this person
Charged
1,564.00
Total submitted
Denied
221.02
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 SMITH |
| Role on the policy | Subscriber |
| Policy | B01M000786 |
| Date of birth | 2 Jan 1972 |
| Plan | PLATINUM PPO |
| Covered from | 8 Apr 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 |
|---|---|---|---|---|---|
| CLM0003491 | 29 Mar 2026 | 816.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 221.02 |
| CLM0003490 | 21 Feb 2026 | 427.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003492 | 17 Jan 2026 | 321.00 | MERIDIAN HEALTH PLAN | Not denied | — |