PRIYA SMITH
Subscriber on policy B01M000503
Claims
3
Attributed to this person
Charged
981.00
Total submitted
Denied
109.00
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 | PRIYA SMITH |
| Role on the policy | Subscriber |
| Policy | B01M000503 |
| Date of birth | 4 Mar 1968 |
| Plan | SILVER HMO |
| Covered from | 23 Mar 2025 |
| Covered to | 26 Nov 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 |
|---|---|---|---|---|---|
| CLM0002256 | 14 Jul 2025 | 600.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002255 | 19 Jun 2025 | 272.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002254 | 18 Jun 2025 | 109.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 109.00 |