WENDY LOPEZ
Subscriber on policy B02M000150
Claims
3
Attributed to this person
Charged
1,577.00
Total submitted
Denied
1,498.00
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 | WENDY LOPEZ |
| Role on the policy | Subscriber |
| Policy | B02M000150 |
| Date of birth | 29 Jun 1995 |
| Plan | GOLD PPO |
| Covered from | 5 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000682 | 21 Aug 2026 | 79.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000683 | 22 Dec 2025 | 620.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 620.00 |
| CLM0000684 | 13 Jun 2025 | 878.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 878.00 |