WENDY REYES
Dependent on policy B08M000092
Claims
2
Attributed to this person
Charged
1,109.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
50.00
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 | WENDY REYES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000092 |
| Date of birth | 16 Nov 2005 |
| Plan | GOLD PPO |
| Covered from | 20 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000412 | 16 Aug 2026 | 575.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000411 | 18 Apr 2026 | 534.00 | MERIDIAN HEALTH PLAN | Not denied | — |