TOMAS REYES
Subscriber on policy B08M000442
Claims
3
Attributed to this person
Charged
2,189.00
Total submitted
Denied
883.00
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 | TOMAS REYES |
| Role on the policy | Subscriber |
| Policy | B08M000442 |
| Date of birth | 10 Sep 1964 |
| Plan | GOLD PPO |
| Covered from | 22 Apr 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 |
|---|---|---|---|---|---|
| CLM0002028 | 12 Jul 2026 | 883.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 883.00 |
| CLM0002027 | 3 Nov 2025 | 649.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002026 | 9 May 2025 | 657.00 | MERIDIAN HEALTH PLAN | Not denied | — |