ZARA CHEN
Subscriber on policy B04M000149
Claims
2
Attributed to this person
Charged
1,064.00
Total submitted
Denied
678.00
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 | ZARA CHEN |
| Role on the policy | Subscriber |
| Policy | B04M000149 |
| Date of birth | 7 May 1963 |
| Plan | PLATINUM PPO |
| Covered from | 29 Mar 2024 |
| Covered to | 27 Nov 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000684 | 18 Nov 2024 | 678.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 678.00 |
| CLM0000685 | 30 May 2024 | 386.00 | MERIDIAN HEALTH PLAN | Not denied | — |