PRIYA PATEL
Dependent on policy B05M000395
Claims
2
Attributed to this person
Charged
388.00
Total submitted
Denied
248.00
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 | PRIYA PATEL |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000395 |
| Date of birth | 23 Nov 2020 |
| 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 |
|---|---|---|---|---|---|
| CLM0001690 | 29 Apr 2025 | 248.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 248.00 |
| CLM0001689 | 22 Jan 2025 | 140.00 | MERIDIAN HEALTH PLAN | Not denied | — |