HENRY WILSON
Dependent on policy B06M000617
Claims
3
Attributed to this person
Charged
814.00
Total submitted
Denied
364.00
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 | HENRY WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000617 |
| Date of birth | 15 Feb 2007 |
| 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 |
|---|---|---|---|---|---|
| CLM0002755 | 5 Dec 2025 | 142.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002754 | 20 Sep 2025 | 364.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 364.00 |
| CLM0002753 | 14 Feb 2025 | 308.00 | MERIDIAN HEALTH PLAN | Not denied | — |