TOMAS REYES
Dependent on policy B08M000332
Claims
3
Attributed to this person
Charged
996.00
Total submitted
Denied
692.00
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 | TOMAS REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000332 |
| Date of birth | 20 Jul 1973 |
| 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 |
|---|---|---|---|---|---|
| CLM0001525 | 10 Apr 2026 | 273.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 273.00 |
| CLM0001527 | 14 Jan 2026 | 304.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001526 | 28 May 2025 | 419.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 419.00 |