ELENA JOHNSON
Dependent on policy B06M000072
Claims
2
Attributed to this person
Charged
932.00
Total submitted
Denied
932.00
2 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 | ELENA JOHNSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000072 |
| Date of birth | 28 May 1998 |
| Plan | GOLD PPO |
| Covered from | 16 May 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 |
|---|---|---|---|---|---|
| CLM0000384 | 6 Jun 2026 | 523.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 523.00 |
| CLM0000385 | 13 Oct 2025 | 409.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 409.00 |