MARCUS CHEN
Subscriber on policy B04M000688
Claims
2
Attributed to this person
Charged
672.00
Total submitted
Denied
672.00
2 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 | MARCUS CHEN |
| Role on the policy | Subscriber |
| Policy | B04M000688 |
| Date of birth | 26 Apr 2003 |
| Plan | SILVER HMO |
| Covered from | 1 May 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 |
|---|---|---|---|---|---|
| CLM0002993 | 15 Jul 2025 | 447.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 447.00 |
| CLM0002994 | 26 Apr 2025 | 225.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 225.00 |