MARCUS WILSON
Subscriber on policy B06M000642
Claims
2
Attributed to this person
Charged
1,226.00
Total submitted
Denied
657.00
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 | MARCUS WILSON |
| Role on the policy | Subscriber |
| Policy | B06M000642 |
| Date of birth | 23 May 1974 |
| Plan | GOLD PPO |
| Covered from | 8 Apr 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 |
|---|---|---|---|---|---|
| CLM0002851 | 7 Oct 2024 | 569.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002852 | 20 Jul 2024 | 657.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 657.00 |