PRIYA CHEN
Dependent on policy B04M000737
Claims
2
Attributed to this person
Charged
882.00
Total submitted
Denied
450.00
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 | PRIYA CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000737 |
| Date of birth | 8 Feb 1946 |
| Plan | PLATINUM PPO |
| Covered from | 26 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 |
|---|---|---|---|---|---|
| CLM0003227 | 29 Dec 2024 | 432.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003228 | 23 Jun 2024 | 450.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 450.00 |