SOFIA GARCIA
Subscriber on policy B05M000052
Claims
3
Attributed to this person
Charged
1,433.00
Total submitted
Denied
657.00
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 | SOFIA GARCIA |
| Role on the policy | Subscriber |
| Policy | B05M000052 |
| Date of birth | 17 Mar 1961 |
| Plan | PLATINUM PPO |
| Covered from | 12 Jun 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 |
|---|---|---|---|---|---|
| CLM0000248 | 6 Jun 2026 | 446.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000249 | 8 Jan 2026 | 330.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000247 | 27 Jul 2025 | 657.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 657.00 |