KEVIN USMAN
Dependent on policy B06M000548
Claims
1
Attributed to this person
Charged
172.00
Total submitted
Denied
84.78
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 | KEVIN USMAN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000548 |
| Date of birth | 16 Oct 1975 |
| Plan | SILVER HMO |
| Covered from | 25 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002452 | 23 Jan 2026 | 172.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 84.78 |