HENRY REYES
Dependent on policy B10M000668
Claims
1
Attributed to this person
Charged
713.00
Total submitted
Denied
713.00
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 | HENRY REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000668 |
| Date of birth | 28 Jan 1957 |
| Plan | PLATINUM PPO |
| Covered from | 29 Oct 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 |
|---|---|---|---|---|---|
| CLM0002777 | 14 Feb 2026 | 713.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 713.00 |