WENDY EVANS
Dependent on policy B04M000317
Claims
3
Attributed to this person
Charged
1,561.00
Total submitted
Denied
356.99
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 | WENDY EVANS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000317 |
| Date of birth | 4 May 1994 |
| Plan | BRONZE EPO |
| Covered from | 24 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001386 | 8 Oct 2025 | 422.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001387 | 7 Aug 2025 | 403.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001385 | 14 Jun 2025 | 736.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 356.99 |