BRIAN CHEN
Dependent on policy B04M000464
Claims
3
Attributed to this person
Charged
813.00
Total submitted
Denied
162.00
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 | BRIAN CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000464 |
| Date of birth | 30 Aug 1983 |
| Plan | SILVER HMO |
| Covered from | 27 Jun 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001986 | 13 Dec 2025 | 113.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001985 | 5 Jan 2025 | 538.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001984 | 1 Jul 2024 | 162.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 162.00 |