OMAR GARCIA
Subscriber on policy B05M000458
Claims
3
Attributed to this person
Charged
590.00
Total submitted
Denied
209.71
2 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 GARCIA |
| Role on the policy | Subscriber |
| Policy | B05M000458 |
| Date of birth | 14 Aug 2001 |
| Plan | SILVER HMO |
| Covered from | 27 May 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 |
|---|---|---|---|---|---|
| CLM0001918 | 22 Mar 2026 | 191.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 191.00 |
| CLM0001916 | 29 Jan 2025 | 199.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 18.71 |
| CLM0001917 | 16 Sep 2024 | 200.00 | MERIDIAN HEALTH PLAN | Not denied | — |