MARCUS REYES
Subscriber on policy B10M000847
Claims
2
Attributed to this person
Charged
679.00
Total submitted
Denied
553.93
2 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 | MARCUS REYES |
| Role on the policy | Subscriber |
| Policy | B10M000847 |
| Date of birth | 30 May 1964 |
| Plan | GOLD PPO |
| Covered from | 21 Nov 2024 |
| Covered to | 24 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003589 | 13 Jul 2025 | 198.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 72.93 |
| CLM0003588 | 28 Jan 2025 | 481.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 481.00 |