MARCUS GARCIA
Dependent on policy B06M000024
Claims
3
Attributed to this person
Charged
1,458.00
Total submitted
Denied
380.00
1 denied claims
Patient responsibility
28.95
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 | MARCUS GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000024 |
| Date of birth | 10 Jan 1994 |
| Plan | PLATINUM PPO |
| Covered from | 1 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 28.95 |
| Total | 28.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000150 | 20 Jul 2026 | 193.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000152 | 17 May 2026 | 380.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 380.00 |
| CLM0000151 | 31 Mar 2026 | 885.00 | MERIDIAN HEALTH PLAN | Not denied | — |