VICTOR ANDERSON
Subscriber on policy B04M000447
Claims
2
Attributed to this person
Charged
764.00
Total submitted
Denied
235.00
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 | VICTOR ANDERSON |
| Role on the policy | Subscriber |
| Policy | B04M000447 |
| Date of birth | 20 Feb 1979 |
| Plan | BRONZE EPO |
| Covered from | 12 Apr 2025 |
| Covered to | 15 Jul 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 |
|---|---|---|---|---|---|
| CLM0001923 | 11 Jun 2025 | 529.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001922 | 15 May 2025 | 235.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 235.00 |