WENDY GARCIA
Dependent on policy B06M000370
Claims
1
Attributed to this person
Charged
163.00
Total submitted
Denied
33.10
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 | WENDY GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000370 |
| Date of birth | 25 Aug 1952 |
| Plan | BRONZE EPO |
| Covered from | 6 Jun 2025 |
| Covered to | 22 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001692 | 3 Jul 2025 | 163.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 33.10 |