SOFIA REYES
Subscriber on policy B09M000443
Claims
3
Attributed to this person
Charged
2,057.00
Total submitted
Denied
456.00
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 | SOFIA REYES |
| Role on the policy | Subscriber |
| Policy | B09M000443 |
| Date of birth | 23 Feb 1995 |
| Plan | PLATINUM PPO |
| Covered from | 19 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001859 | 26 May 2026 | 817.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001861 | 24 Jul 2025 | 456.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 456.00 |
| CLM0001860 | 23 Apr 2025 | 784.00 | MERIDIAN HEALTH PLAN | Not denied | — |