LEILA SMITH
Subscriber on policy B05M000406
Claims
2
Attributed to this person
Charged
1,350.00
Total submitted
Denied
0.00
0 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 | LEILA SMITH |
| Role on the policy | Subscriber |
| Policy | B05M000406 |
| Date of birth | 7 Dec 2003 |
| Plan | SILVER HMO |
| Covered from | 11 Jun 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 |
|---|---|---|---|---|---|
| CLM0001731 | 4 Dec 2025 | 582.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001730 | 5 Nov 2025 | 768.00 | MERIDIAN HEALTH PLAN | Not denied | — |