OMAR SMITH
Dependent on policy B07M000250
Claims
2
Attributed to this person
Charged
588.00
Total submitted
Denied
0.00
0 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 | OMAR SMITH |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000250 |
| Date of birth | 8 Dec 2018 |
| Plan | BRONZE EPO |
| Covered from | 26 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 |
|---|---|---|---|---|---|
| CLM0001065 | 12 Aug 2026 | 164.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001066 | 14 Dec 2025 | 424.00 | MERIDIAN HEALTH PLAN | Not denied | — |