JULIA REYES
Subscriber on policy B06M000601
Claims
2
Attributed to this person
Charged
532.00
Total submitted
Denied
413.00
1 denied claims
Patient responsibility
17.85
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 REYES |
| Role on the policy | Subscriber |
| Policy | B06M000601 |
| Date of birth | 24 Dec 1968 |
| Plan | SILVER HMO |
| Covered from | 2 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 17.85 |
| Total | 17.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002684 | 22 Apr 2026 | 119.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002685 | 3 Mar 2024 | 413.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 413.00 |