JULIA SMITH
Subscriber on policy B06M000371
Claims
2
Attributed to this person
Charged
796.00
Total submitted
Denied
796.00
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 | JULIA SMITH |
| Role on the policy | Subscriber |
| Policy | B06M000371 |
| Date of birth | 10 Nov 1983 |
| Plan | GOLD PPO |
| Covered from | 10 Oct 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 |
|---|---|---|---|---|---|
| CLM0001693 | 10 Jul 2025 | 117.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 117.00 |
| CLM0001694 | 25 Sep 2024 | 679.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 679.00 |