WENDY REYES
Subscriber on policy B02M000451
Claims
2
Attributed to this person
Charged
833.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
37.50
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 REYES |
| Role on the policy | Subscriber |
| Policy | B02M000451 |
| Date of birth | 20 May 1965 |
| Plan | BRONZE EPO |
| Covered from | 18 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 37.50 |
| Total | 37.50 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001918 | 26 Jul 2026 | 250.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001919 | 2 May 2026 | 583.00 | MERIDIAN HEALTH PLAN | Not denied | — |