UMA CHEN
Dependent on policy B05M000139
Claims
2
Attributed to this person
Charged
632.00
Total submitted
Denied
125.00
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 | UMA CHEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000139 |
| Date of birth | 4 Mar 1962 |
| Plan | PLATINUM PPO |
| Covered from | 13 Feb 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000567 | 23 Aug 2025 | 125.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 125.00 |
| CLM0000566 | 10 Apr 2025 | 507.00 | MERIDIAN HEALTH PLAN | Not denied | — |