PRIYA SMITH
Dependent on policy B03M000471
Claims
3
Attributed to this person
Charged
1,443.00
Total submitted
Denied
527.00
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 | Dependent · relationship 19 |
| Policy | B03M000471 |
| Date of birth | 5 Dec 2000 |
| Plan | PLATINUM PPO |
| Covered from | 27 Apr 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 |
|---|---|---|---|---|---|
| CLM0001967 | 6 Apr 2026 | 575.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001965 | 9 Jul 2025 | 527.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 527.00 |
| CLM0001966 | 3 Jan 2025 | 341.00 | MERIDIAN HEALTH PLAN | Not denied | — |