NADIA GARCIA
Dependent on policy B05M000506
Claims
2
Attributed to this person
Charged
952.00
Total submitted
Denied
952.00
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 | NADIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000506 |
| Date of birth | 23 Nov 1996 |
| Plan | GOLD PPO |
| Covered from | 6 May 2024 |
| Covered to | 15 Jul 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002172 | 18 Aug 2024 | 702.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 702.00 |
| CLM0002173 | 7 Aug 2024 | 250.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 250.00 |