YUSUF ANDERSON
Subscriber on policy B05M000829
Claims
3
Attributed to this person
Charged
1,674.00
Total submitted
Denied
181.86
2 denied claims
Patient responsibility
510.25
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 | B05M000829 |
| Date of birth | 7 Feb 1980 |
| Plan | PLATINUM PPO |
| Covered from | 18 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 510.25 |
| Total | 510.25 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003522 | 19 Mar 2026 | 793.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 181.86 |
| CLM0003521 | 11 Oct 2025 | 785.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003520 | 5 Oct 2025 | 96.00 | MERIDIAN HEALTH PLAN | Not denied | — |