FIONA EVANS
Dependent on policy B10M000311
Claims
2
Attributed to this person
Charged
1,110.00
Total submitted
Denied
432.46
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 | FIONA EVANS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000311 |
| Date of birth | 24 Dec 2009 |
| Plan | BRONZE EPO |
| Covered from | 26 Jul 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 |
|---|---|---|---|---|---|
| CLM0001311 | 15 Aug 2026 | 238.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001310 | 25 Jan 2026 | 872.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 432.46 |