TOMAS JOHNSON
Subscriber on policy B05M000823
Claims
3
Attributed to this person
Charged
1,533.00
Total submitted
Denied
109.06
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 | TOMAS JOHNSON |
| Role on the policy | Subscriber |
| Policy | B05M000823 |
| Date of birth | 23 Mar 1957 |
| Plan | GOLD PPO |
| Covered from | 21 Jun 2025 |
| Covered to | 1 Apr 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003491 | 9 Mar 2026 | 359.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 109.06 |
| CLM0003490 | 29 Jan 2026 | 842.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003489 | 9 Dec 2025 | 332.00 | MERIDIAN HEALTH PLAN | Not denied | — |