JULIA GARCIA
Subscriber on policy B06M000438
Claims
3
Attributed to this person
Charged
2,245.00
Total submitted
Denied
724.00
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 | JULIA GARCIA |
| Role on the policy | Subscriber |
| Policy | B06M000438 |
| Date of birth | 23 Mar 1954 |
| Plan | BRONZE EPO |
| Covered from | 9 Mar 2024 |
| Covered to | 7 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002012 | 27 Jun 2024 | 690.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002013 | 4 Jun 2024 | 724.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 724.00 |
| CLM0002011 | 2 Apr 2024 | 831.00 | MERIDIAN HEALTH PLAN | Not denied | — |