SOFIA EVANS
Subscriber on policy B07M000753
Claims
2
Attributed to this person
Charged
947.00
Total submitted
Denied
947.00
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 | SOFIA EVANS |
| Role on the policy | Subscriber |
| Policy | B07M000753 |
| Date of birth | 18 Apr 1965 |
| Plan | GOLD PPO |
| Covered from | 8 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 |
|---|---|---|---|---|---|
| CLM0003120 | 2 Feb 2026 | 184.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 184.00 |
| CLM0003121 | 31 Jan 2025 | 763.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 763.00 |