MARCUS USMAN
Dependent on policy B04M000411
Claims
1
Attributed to this person
Charged
651.00
Total submitted
Denied
651.00
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 | MARCUS USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000411 |
| Date of birth | 9 Mar 1967 |
| Plan | GOLD PPO |
| Covered from | 29 May 2025 |
| Covered to | 16 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 |
|---|---|---|---|---|---|
| CLM0001758 | 31 Jul 2025 | 651.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 651.00 |