KEVIN JOHNSON
Dependent on policy B06M000467
Claims
3
Attributed to this person
Charged
1,178.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
56.55
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 | KEVIN JOHNSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000467 |
| Date of birth | 14 Jul 1960 |
| Plan | GOLD PPO |
| Covered from | 27 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 56.55 |
| Total | 56.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002111 | 2 Dec 2025 | 604.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002112 | 5 Oct 2025 | 377.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002110 | 2 Apr 2025 | 197.00 | MERIDIAN HEALTH PLAN | Not denied | — |