OMAR ANDERSON
Subscriber on policy B05M000292
Claims
1
Attributed to this person
Charged
834.00
Total submitted
Denied
186.00
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 | OMAR ANDERSON |
| Role on the policy | Subscriber |
| Policy | B05M000292 |
| Date of birth | 21 Jun 1985 |
| Plan | BRONZE EPO |
| Covered from | 22 Jan 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 |
|---|---|---|---|---|---|
| CLM0001203 | 29 Jan 2026 | 834.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 186.00 |