KEVIN REYES
Dependent on policy B08M000391
Claims
2
Attributed to this person
Charged
972.00
Total submitted
Denied
972.00
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 | KEVIN REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000391 |
| Date of birth | 30 Apr 1972 |
| Plan | BRONZE EPO |
| Covered from | 9 Sep 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 |
|---|---|---|---|---|---|
| CLM0001785 | 17 Mar 2026 | 93.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 93.00 |
| CLM0001786 | 12 Nov 2024 | 879.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 879.00 |