YUSUF PATEL
Subscriber on policy B06M000387
Claims
2
Attributed to this person
Charged
1,604.00
Total submitted
Denied
744.00
1 denied claims
Patient responsibility
129.00
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 | YUSUF PATEL |
| Role on the policy | Subscriber |
| Policy | B06M000387 |
| Date of birth | 30 Dec 1966 |
| Plan | SILVER HMO |
| Covered from | 24 Oct 2024 |
| Covered to | 13 Jan 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 129.00 |
| Total | 129.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001762 | 6 Feb 2025 | 860.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001761 | 26 Sep 2024 | 744.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 744.00 |