IVAN WILSON
Dependent on policy B06M000885
Claims
2
Attributed to this person
Charged
901.00
Total submitted
Denied
901.00
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 | Dependent · relationship 19 |
| Policy | B06M000885 |
| Date of birth | 7 Feb 1990 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jun 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 |
|---|---|---|---|---|---|
| CLM0003858 | 25 Jun 2025 | 784.00 | CASCADE CARE | CARC 18 · DUPLICATE | 784.00 |
| CLM0003857 | 30 Jan 2025 | 117.00 | CASCADE CARE | CARC 11 · CODING | 117.00 |