RAVI PATEL
Dependent on policy B05M000118
Claims
3
Attributed to this person
Charged
1,898.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
176.40
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 | RAVI PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000118 |
| Date of birth | 28 Oct 1995 |
| Plan | GOLD PPO |
| Covered from | 22 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 176.40 |
| Total | 176.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000490 | 17 Jan 2026 | 882.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000491 | 10 Oct 2025 | 671.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000492 | 18 May 2024 | 345.00 | MERIDIAN HEALTH PLAN | Not denied | — |