OMAR JOHNSON
Subscriber on policy B05M000318
Claims
3
Attributed to this person
Charged
1,062.00
Total submitted
Denied
159.87
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 JOHNSON |
| Role on the policy | Subscriber |
| Policy | B05M000318 |
| Date of birth | 16 Sep 1985 |
| Plan | SILVER HMO |
| Covered from | 23 Mar 2025 |
| Covered to | 6 Aug 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 |
|---|---|---|---|---|---|
| CLM0001329 | 4 Jun 2025 | 461.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 159.87 |
| CLM0001328 | 19 May 2025 | 275.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001327 | 13 Apr 2025 | 326.00 | MERIDIAN HEALTH PLAN | Not denied | — |