TOMAS EVANS
Subscriber on policy B08M000479
Claims
1
Attributed to this person
Charged
583.00
Total submitted
Denied
0.00
0 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 EVANS |
| Role on the policy | Subscriber |
| Policy | B08M000479 |
| Date of birth | 30 Nov 1987 |
| Plan | SILVER HMO |
| Covered from | 29 Jan 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 |
|---|---|---|---|---|---|
| CLM0002229 | 4 Feb 2026 | 583.00 | MERIDIAN HEALTH PLAN | Not denied | — |