PRIYA SMITH
Subscriber on policy B05M000658
Claims
2
Attributed to this person
Charged
1,094.00
Total submitted
Denied
388.00
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 | PRIYA SMITH |
| Role on the policy | Subscriber |
| Policy | B05M000658 |
| Date of birth | 19 Sep 1987 |
| Plan | SILVER HMO |
| Covered from | 13 Jul 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 |
|---|---|---|---|---|---|
| CLM0002836 | 25 Feb 2026 | 706.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002837 | 22 Jan 2026 | 388.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 388.00 |