WENDY REYES
Dependent on policy B02M000770
Claims
3
Attributed to this person
Charged
971.00
Total submitted
Denied
125.65
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 | WENDY REYES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000770 |
| Date of birth | 11 May 1966 |
| Plan | PLATINUM PPO |
| Covered from | 8 Jul 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 |
|---|---|---|---|---|---|
| CLM0003215 | 4 Dec 2025 | 337.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003214 | 28 Oct 2024 | 478.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 125.65 |
| CLM0003216 | 3 Sep 2024 | 156.00 | MERIDIAN HEALTH PLAN | Not denied | — |