ZARA SMITH
Subscriber on policy B09M000776
Claims
2
Attributed to this person
Charged
1,102.00
Total submitted
Denied
735.00
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 | ZARA SMITH |
| Role on the policy | Subscriber |
| Policy | B09M000776 |
| Date of birth | 13 May 1998 |
| Plan | BRONZE EPO |
| Covered from | 7 Jun 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 |
|---|---|---|---|---|---|
| CLM0003283 | 28 Apr 2026 | 367.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003284 | 11 Jan 2026 | 735.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 735.00 |