SOFIA GARCIA
Dependent on policy B01M000069
Claims
3
Attributed to this person
Charged
2,093.00
Total submitted
Denied
758.00
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 | SOFIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000069 |
| Date of birth | 21 Jun 1948 |
| Plan | GOLD PPO |
| Covered from | 9 Mar 2025 |
| Covered to | 19 Nov 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 |
|---|---|---|---|---|---|
| CLM0000297 | 18 Dec 2025 | 447.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000295 | 19 Oct 2025 | 888.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000296 | 16 Feb 2025 | 758.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 758.00 |