NADIA SMITH
Dependent on policy B04M000485
Claims
3
Attributed to this person
Charged
963.00
Total submitted
Denied
335.00
2 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 SMITH |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000485 |
| Date of birth | 19 Nov 2004 |
| Plan | SILVER HMO |
| Covered from | 16 May 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 |
|---|---|---|---|---|---|
| CLM0002076 | 21 May 2026 | 164.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 164.00 |
| CLM0002075 | 18 Jan 2026 | 171.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 171.00 |
| CLM0002074 | 27 Nov 2025 | 628.00 | MERIDIAN HEALTH PLAN | Not denied | — |