WENDY WILSON
Subscriber on policy B06M000805
Claims
3
Attributed to this person
Charged
1,295.00
Total submitted
Denied
902.00
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 | WENDY WILSON |
| Role on the policy | Subscriber |
| Policy | B06M000805 |
| Date of birth | 2 Aug 1994 |
| Plan | BRONZE EPO |
| Covered from | 9 Sep 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 |
|---|---|---|---|---|---|
| CLM0003540 | 29 Jul 2026 | 576.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 576.00 |
| CLM0003541 | 9 Mar 2026 | 326.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 326.00 |
| CLM0003542 | 20 Sep 2025 | 393.00 | NORTHSTAR MUTUAL | Not denied | — |