ZARA REYES
Subscriber on policy B08M000534
Claims
3
Attributed to this person
Charged
1,486.00
Total submitted
Denied
867.79
2 denied claims
Patient responsibility
83.55
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 | ZARA REYES |
| Role on the policy | Subscriber |
| Policy | B08M000534 |
| Date of birth | 16 Aug 1996 |
| Plan | BRONZE EPO |
| Covered from | 14 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 83.55 |
| Total | 83.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002443 | 13 Jan 2026 | 82.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 20.79 |
| CLM0002444 | 29 Dec 2025 | 557.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002442 | 24 Nov 2024 | 847.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 847.00 |