RAVI PATEL
Dependent on policy B01M000820
Claims
3
Attributed to this person
Charged
1,188.00
Total submitted
Denied
711.16
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 | RAVI PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000820 |
| Date of birth | 26 Jul 1988 |
| 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 |
|---|---|---|---|---|---|
| CLM0003648 | 22 Aug 2025 | 130.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 38.16 |
| CLM0003649 | 24 Jul 2025 | 673.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 673.00 |
| CLM0003647 | 26 Apr 2025 | 385.00 | MERIDIAN HEALTH PLAN | Not denied | — |