MARCUS REYES
Dependent on policy B08M000411
Claims
2
Attributed to this person
Charged
277.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
18.90
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 | MARCUS REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000411 |
| Date of birth | 1 Mar 1988 |
| Plan | GOLD PPO |
| Covered from | 11 May 2024 |
| Covered to | 21 Jul 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 18.90 |
| Total | 18.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001895 | 31 Jul 2024 | 126.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001896 | 2 Jun 2024 | 151.00 | MERIDIAN HEALTH PLAN | Not denied | — |