LEILA REYES
Subscriber on policy B05M000776
Claims
2
Attributed to this person
Charged
977.00
Total submitted
Denied
146.00
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 | LEILA REYES |
| Role on the policy | Subscriber |
| Policy | B05M000776 |
| Date of birth | 18 Apr 1994 |
| Plan | BRONZE EPO |
| Covered from | 25 Aug 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 |
|---|---|---|---|---|---|
| CLM0003314 | 19 Apr 2026 | 831.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003313 | 15 Jul 2025 | 146.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 146.00 |