SOFIA PATEL
Dependent on policy B05M000193
Claims
3
Attributed to this person
Charged
1,579.00
Total submitted
Denied
1,138.26
3 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 PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000193 |
| Date of birth | 20 Jan 2012 |
| Plan | GOLD PPO |
| Covered from | 5 Mar 2025 |
| Covered to | 6 May 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 |
|---|---|---|---|---|---|
| CLM0000814 | 4 Jun 2025 | 238.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 238.00 |
| CLM0000816 | 16 Apr 2025 | 723.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 282.26 |
| CLM0000815 | 3 Mar 2025 | 618.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 618.00 |