ZARA REYES
Subscriber on policy B08M000291
Claims
2
Attributed to this person
Charged
1,095.00
Total submitted
Denied
884.00
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 | ZARA REYES |
| Role on the policy | Subscriber |
| Policy | B08M000291 |
| Date of birth | 22 Feb 1963 |
| Plan | SILVER HMO |
| Covered from | 7 Sep 2024 |
| Covered to | 24 Jan 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001330 | 22 Jan 2025 | 211.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001331 | 9 Dec 2024 | 884.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 884.00 |