ELENA REYES
Subscriber on policy B02M000340
Claims
2
Attributed to this person
Charged
859.00
Total submitted
Denied
289.00
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 | ELENA REYES |
| Role on the policy | Subscriber |
| Policy | B02M000340 |
| Date of birth | 3 Oct 1955 |
| Plan | BRONZE EPO |
| Covered from | 18 Dec 2024 |
| Covered to | 12 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 |
|---|---|---|---|---|---|
| CLM0001445 | 29 Jul 2025 | 289.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 289.00 |
| CLM0001444 | 1 Jun 2025 | 570.00 | MERIDIAN HEALTH PLAN | Not denied | — |