JULIA ANDERSON
Subscriber on policy B05M000059
Claims
2
Attributed to this person
Charged
973.00
Total submitted
Denied
666.97
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 | JULIA ANDERSON |
| Role on the policy | Subscriber |
| Policy | B05M000059 |
| Date of birth | 26 Apr 1968 |
| Plan | PLATINUM PPO |
| Covered from | 14 Sep 2024 |
| Covered to | 25 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000283 | 14 Apr 2025 | 583.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 583.00 |
| CLM0000282 | 13 Dec 2024 | 390.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 83.97 |