NADIA SMITH
Dependent on policy B06M000223
Claims
1
Attributed to this person
Charged
615.00
Total submitted
Denied
615.00
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 | NADIA SMITH |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000223 |
| Date of birth | 20 Dec 2021 |
| Plan | GOLD PPO |
| Covered from | 8 May 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 |
|---|---|---|---|---|---|
| CLM0001066 | 3 Jan 2026 | 615.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 615.00 |