IVAN WILSON
Subscriber on policy B06M000789
Claims
2
Attributed to this person
Charged
1,000.00
Total submitted
Denied
1,000.00
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 | IVAN WILSON |
| Role on the policy | Subscriber |
| Policy | B06M000789 |
| Date of birth | 10 May 1993 |
| Plan | PLATINUM PPO |
| Covered from | 14 Jun 2024 |
| Covered to | 31 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003473 | 25 May 2025 | 176.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 176.00 |
| CLM0003472 | 7 Jun 2024 | 824.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 824.00 |