PRIYA ANDERSON
Subscriber on policy B01M000097
Claims
3
Attributed to this person
Charged
1,784.00
Total submitted
Denied
434.95
1 denied claims
Patient responsibility
23.70
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 ANDERSON |
| Role on the policy | Subscriber |
| Policy | B01M000097 |
| Date of birth | 23 Jul 1957 |
| Plan | BRONZE EPO |
| Covered from | 19 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 23.70 |
| Total | 23.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000386 | 11 Jun 2026 | 158.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000387 | 13 Aug 2024 | 873.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 434.95 |
| CLM0000388 | 19 Jul 2024 | 753.00 | MERIDIAN HEALTH PLAN | Not denied | — |