ELENA PATEL
Subscriber on policy B06M000151
Claims
3
Attributed to this person
Charged
618.00
Total submitted
Denied
340.00
1 denied claims
Patient responsibility
14.00
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 PATEL |
| Role on the policy | Subscriber |
| Policy | B06M000151 |
| Date of birth | 22 Dec 1965 |
| Plan | SILVER HMO |
| Covered from | 19 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 14.00 |
| Total | 14.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000746 | 29 Apr 2026 | 208.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000745 | 15 Mar 2026 | 340.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 340.00 |
| CLM0000744 | 10 May 2025 | 70.00 | MERIDIAN HEALTH PLAN | Not denied | — |