BRIAN GARCIA
Dependent on policy B01M000004
Claims
3
Attributed to this person
Charged
1,755.00
Total submitted
Denied
854.56
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 | BRIAN GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000004 |
| Date of birth | 17 Jan 2019 |
| Plan | GOLD PPO |
| Covered from | 30 Mar 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 |
|---|---|---|---|---|---|
| CLM0000013 | 15 May 2026 | 443.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000014 | 6 Mar 2026 | 684.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 226.56 |
| CLM0000015 | 18 Feb 2026 | 628.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 628.00 |