UMA ANDERSON
Subscriber on policy B04M000486
Claims
1
Attributed to this person
Charged
457.00
Total submitted
Denied
17.37
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 | UMA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B04M000486 |
| Date of birth | 24 May 1971 |
| Plan | GOLD PPO |
| Covered from | 30 Oct 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 |
|---|---|---|---|---|---|
| CLM0002077 | 17 May 2026 | 457.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 17.37 |