WENDY SMITH
Dependent on policy B06M000481
Claims
2
Attributed to this person
Charged
801.00
Total submitted
Denied
281.00
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 | WENDY SMITH |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000481 |
| Date of birth | 5 Jan 1994 |
| Plan | PLATINUM PPO |
| Covered from | 1 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 |
|---|---|---|---|---|---|
| CLM0002173 | 19 Jul 2026 | 281.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 281.00 |
| CLM0002174 | 28 Dec 2025 | 520.00 | MERIDIAN HEALTH PLAN | Not denied | — |