PRIYA EVANS
Subscriber on policy B01M000800
Claims
2
Attributed to this person
Charged
1,052.00
Total submitted
Denied
694.00
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 EVANS |
| Role on the policy | Subscriber |
| Policy | B01M000800 |
| Date of birth | 27 Oct 1974 |
| Plan | GOLD PPO |
| Covered from | 26 Sep 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 |
|---|---|---|---|---|---|
| CLM0003558 | 13 Jun 2026 | 358.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003559 | 22 Sep 2024 | 694.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 694.00 |