IVAN ANDERSON
Dependent on policy B04M000145
Claims
2
Attributed to this person
Charged
1,668.00
Total submitted
Denied
835.00
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 | IVAN ANDERSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000145 |
| Date of birth | 27 Sep 2006 |
| Plan | GOLD PPO |
| Covered from | 10 Jun 2025 |
| Covered to | 21 Sep 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 |
|---|---|---|---|---|---|
| CLM0000669 | 7 Nov 2025 | 835.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 835.00 |
| CLM0000670 | 23 Jul 2025 | 833.00 | MERIDIAN HEALTH PLAN | Not denied | — |