UMA REYES
Subscriber on policy B02M000008
Claims
2
Attributed to this person
Charged
1,580.00
Total submitted
Denied
1,580.00
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 | UMA REYES |
| Role on the policy | Subscriber |
| Policy | B02M000008 |
| Date of birth | 26 Feb 1965 |
| Plan | SILVER HMO |
| Covered from | 1 May 2025 |
| Covered to | 12 Feb 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000053 | 5 Jan 2026 | 791.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 791.00 |
| CLM0000052 | 19 Sep 2025 | 789.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 789.00 |