SOFIA PATEL
Subscriber on policy B01M000820
Claims
2
Attributed to this person
Charged
897.00
Total submitted
Denied
897.00
2 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 | SOFIA PATEL |
| Role on the policy | Subscriber |
| Policy | B01M000820 |
| Date of birth | 10 Apr 1981 |
| Plan | GOLD PPO |
| Covered from | 16 Apr 2025 |
| Covered to | 31 Aug 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003645 | 13 May 2025 | 452.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 452.00 |
| CLM0003646 | 11 Apr 2025 | 445.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 445.00 |