KEVIN EVANS
Subscriber on policy B01M000248
Claims
3
Attributed to this person
Charged
1,327.00
Total submitted
Denied
194.92
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 | KEVIN EVANS |
| Role on the policy | Subscriber |
| Policy | B01M000248 |
| Date of birth | 13 Oct 2000 |
| Plan | SILVER HMO |
| Covered from | 1 May 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 |
|---|---|---|---|---|---|
| CLM0001054 | 17 Nov 2025 | 427.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 194.92 |
| CLM0001055 | 21 Dec 2024 | 129.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001053 | 26 Sep 2024 | 771.00 | MERIDIAN HEALTH PLAN | Not denied | — |