ELENA PATEL
Dependent on policy B05M000425
Claims
3
Attributed to this person
Charged
1,041.00
Total submitted
Denied
398.00
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 | ELENA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000425 |
| Date of birth | 29 Feb 1980 |
| Plan | BRONZE EPO |
| Covered from | 27 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001790 | 12 Nov 2025 | 398.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 398.00 |
| CLM0001789 | 23 Jul 2025 | 286.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001788 | 22 May 2025 | 357.00 | MERIDIAN HEALTH PLAN | Not denied | — |