OMAR REYES
Dependent on policy B08M000182
Claims
3
Attributed to this person
Charged
1,593.00
Total submitted
Denied
741.00
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 | OMAR REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000182 |
| Date of birth | 7 Sep 1986 |
| Plan | GOLD PPO |
| Covered from | 12 Nov 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 |
|---|---|---|---|---|---|
| CLM0000817 | 20 Apr 2025 | 741.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 741.00 |
| CLM0000816 | 5 Mar 2025 | 542.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000818 | 20 Nov 2024 | 310.00 | MERIDIAN HEALTH PLAN | Not denied | — |