YUSUF ANDERSON
Subscriber on policy B05M000602
Claims
2
Attributed to this person
Charged
687.00
Total submitted
Denied
223.62
1 denied claims
Patient responsibility
40.20
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 | YUSUF ANDERSON |
| Role on the policy | Subscriber |
| Policy | B05M000602 |
| Date of birth | 24 Oct 1976 |
| Plan | PLATINUM PPO |
| Covered from | 3 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 40.20 |
| Total | 40.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002584 | 3 Feb 2026 | 201.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002583 | 24 Apr 2025 | 486.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 223.62 |