AMARA EVANS
Dependent on policy B10M000379
Claims
2
Attributed to this person
Charged
987.00
Total submitted
Denied
298.00
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 | AMARA EVANS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000379 |
| Date of birth | 26 Jun 2006 |
| Plan | BRONZE EPO |
| Covered from | 21 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 |
|---|---|---|---|---|---|
| CLM0001577 | 8 Apr 2026 | 298.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 298.00 |
| CLM0001578 | 25 Nov 2025 | 689.00 | MERIDIAN HEALTH PLAN | Not denied | — |