OMAR WILSON
Subscriber on policy B06M000617
Claims
3
Attributed to this person
Charged
1,466.00
Total submitted
Denied
502.00
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 | OMAR WILSON |
| Role on the policy | Subscriber |
| Policy | B06M000617 |
| Date of birth | 21 Sep 1999 |
| Plan | BRONZE EPO |
| Covered from | 17 Nov 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 |
|---|---|---|---|---|---|
| CLM0002752 | 16 Aug 2026 | 394.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002750 | 20 Sep 2025 | 502.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 502.00 |
| CLM0002751 | 4 Feb 2025 | 570.00 | MERIDIAN HEALTH PLAN | Not denied | — |