IVAN REYES
Subscriber on policy B08M000270
Claims
1
Attributed to this person
Charged
456.00
Total submitted
Denied
456.00
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 | IVAN REYES |
| Role on the policy | Subscriber |
| Policy | B08M000270 |
| Date of birth | 24 Jan 2001 |
| Plan | PLATINUM PPO |
| Covered from | 21 Apr 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 |
|---|---|---|---|---|---|
| CLM0001231 | 11 Apr 2025 | 456.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 456.00 |