CARLA REYES
Subscriber on policy B08M000332
Claims
2
Attributed to this person
Charged
531.00
Total submitted
Denied
427.78
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 | CARLA REYES |
| Role on the policy | Subscriber |
| Policy | B08M000332 |
| Date of birth | 2 Jun 1965 |
| Plan | PLATINUM PPO |
| Covered from | 22 Mar 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 |
|---|---|---|---|---|---|
| CLM0001522 | 5 Apr 2026 | 199.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 95.78 |
| CLM0001523 | 13 Mar 2025 | 332.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 332.00 |