NADIA EVANS
Dependent on policy B04M000073
Claims
1
Attributed to this person
Charged
405.00
Total submitted
Denied
405.00
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 | NADIA EVANS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000073 |
| Date of birth | 7 Nov 1976 |
| Plan | SILVER HMO |
| Covered from | 3 Nov 2024 |
| Covered to | 28 Jun 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 |
|---|---|---|---|---|---|
| CLM0000346 | 12 Aug 2025 | 405.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 405.00 |