TOMAS REYES
Dependent on policy B09M000600
Claims
2
Attributed to this person
Charged
178.00
Total submitted
Denied
92.00
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 | Dependent · relationship 01 |
| Policy | B09M000600 |
| Date of birth | 2 Jan 1962 |
| Plan | BRONZE EPO |
| Covered from | 1 May 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 |
|---|---|---|---|---|---|
| CLM0002540 | 5 Dec 2025 | 92.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 92.00 |
| CLM0002541 | 8 Jun 2025 | 86.00 | MERIDIAN HEALTH PLAN | Not denied | — |