IVAN JOHNSON
Dependent on policy B05M000755
Claims
3
Attributed to this person
Charged
1,353.00
Total submitted
Denied
325.00
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 | IVAN JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000755 |
| Date of birth | 20 Feb 1942 |
| Plan | SILVER HMO |
| Covered from | 27 Mar 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 |
|---|---|---|---|---|---|
| CLM0003229 | 20 Dec 2025 | 288.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003228 | 25 Jul 2025 | 325.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 325.00 |
| CLM0003230 | 18 Jul 2025 | 740.00 | MERIDIAN HEALTH PLAN | Not denied | — |