NADIA REYES
Subscriber on policy B10M000668
Claims
3
Attributed to this person
Charged
1,775.00
Total submitted
Denied
46.16
2 denied claims
Patient responsibility
516.75
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 | NADIA REYES |
| Role on the policy | Subscriber |
| Policy | B10M000668 |
| Date of birth | 13 Aug 1955 |
| Plan | PLATINUM PPO |
| Covered from | 29 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 516.75 |
| Total | 516.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002774 | 11 May 2026 | 160.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 46.16 |
| CLM0002775 | 15 Sep 2025 | 795.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0002776 | 20 Jan 2025 | 820.00 | MERIDIAN HEALTH PLAN | Not denied | — |