LEILA SMITH
Subscriber on policy B07M000291
Claims
3
Attributed to this person
Charged
886.00
Total submitted
Denied
587.00
2 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 | LEILA SMITH |
| Role on the policy | Subscriber |
| Policy | B07M000291 |
| Date of birth | 12 Jul 2004 |
| Plan | BRONZE EPO |
| Covered from | 22 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001257 | 1 Dec 2025 | 299.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001259 | 30 Jun 2025 | 384.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 384.00 |
| CLM0001258 | 28 Oct 2024 | 203.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 203.00 |