BRIAN PATEL
Subscriber on policy B05M000395
Claims
1
Attributed to this person
Charged
689.00
Total submitted
Denied
689.00
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 | BRIAN PATEL |
| Role on the policy | Subscriber |
| Policy | B05M000395 |
| Date of birth | 2 Dec 2002 |
| Plan | SILVER HMO |
| Covered from | 27 Sep 2024 |
| Covered to | 3 Apr 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 |
|---|---|---|---|---|---|
| CLM0001686 | 12 May 2025 | 689.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 689.00 |