NADIA EVANS
Subscriber on policy B04M000106
Claims
2
Attributed to this person
Charged
905.00
Total submitted
Denied
643.00
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 | Subscriber |
| Policy | B04M000106 |
| Date of birth | 3 Apr 1980 |
| Plan | BRONZE EPO |
| Covered from | 31 Jan 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 |
|---|---|---|---|---|---|
| CLM0000493 | 10 Mar 2026 | 643.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 643.00 |
| CLM0000494 | 7 Apr 2024 | 262.00 | MERIDIAN HEALTH PLAN | Not denied | — |