AMARA ANDERSON
Subscriber on policy B04M000458
Claims
1
Attributed to this person
Charged
650.00
Total submitted
Denied
650.00
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 | AMARA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B04M000458 |
| Date of birth | 15 Aug 1982 |
| Plan | SILVER HMO |
| Covered from | 3 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 |
|---|---|---|---|---|---|
| CLM0001957 | 26 Sep 2025 | 650.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 650.00 |