RAVI USMAN
Dependent on policy B04M000411
Claims
2
Attributed to this person
Charged
838.00
Total submitted
Denied
0.00
0 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 USMAN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000411 |
| Date of birth | 24 May 2001 |
| 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 |
|---|---|---|---|---|---|
| CLM0001759 | 4 Aug 2025 | 587.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001760 | 26 May 2025 | 251.00 | MERIDIAN HEALTH PLAN | Not denied | — |