SOFIA REYES
Subscriber on policy B06M000616
Claims
3
Attributed to this person
Charged
1,904.00
Total submitted
Denied
644.00
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 | SOFIA REYES |
| Role on the policy | Subscriber |
| Policy | B06M000616 |
| Date of birth | 23 Jul 1995 |
| Plan | BRONZE EPO |
| Covered from | 28 Dec 2024 |
| Covered to | 28 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002746 | 16 Feb 2025 | 430.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002747 | 19 Jan 2025 | 830.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002745 | 5 Jan 2025 | 644.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 644.00 |