YUSUF PATEL
Dependent on policy B01M000077
Claims
1
Attributed to this person
Charged
655.00
Total submitted
Denied
655.00
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 | YUSUF PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000077 |
| Date of birth | 8 Nov 1976 |
| Plan | GOLD PPO |
| Covered from | 31 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 |
|---|---|---|---|---|---|
| CLM0000315 | 10 Jan 2026 | 655.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 655.00 |