SOFIA REYES
Subscriber on policy B01M000423
Claims
1
Attributed to this person
Charged
518.00
Total submitted
Denied
518.00
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 | SOFIA REYES |
| Role on the policy | Subscriber |
| Policy | B01M000423 |
| Date of birth | 30 Apr 1987 |
| Plan | BRONZE EPO |
| Covered from | 4 May 2025 |
| Covered to | 19 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 |
|---|---|---|---|---|---|
| CLM0001870 | 18 Apr 2025 | 518.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 518.00 |