MARCUS ANDERSON
Subscriber on policy B06M000432
Claims
3
Attributed to this person
Charged
1,642.00
Total submitted
Denied
932.00
2 denied claims
Patient responsibility
30.00
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 | MARCUS ANDERSON |
| Role on the policy | Subscriber |
| Policy | B06M000432 |
| Date of birth | 16 Mar 1950 |
| Plan | PLATINUM PPO |
| Covered from | 3 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001992 | 18 Sep 2025 | 710.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001991 | 28 Aug 2025 | 144.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 144.00 |
| CLM0001990 | 1 May 2024 | 788.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 788.00 |