RAVI WILSON
Subscriber on policy B07M000651
Claims
3
Attributed to this person
Charged
691.00
Total submitted
Denied
0.00
0 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 | RAVI WILSON |
| Role on the policy | Subscriber |
| Policy | B07M000651 |
| Date of birth | 22 Mar 2002 |
| Plan | GOLD PPO |
| Covered from | 31 Mar 2025 |
| Covered to | 22 Dec 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 |
|---|---|---|---|---|---|
| CLM0002709 | 14 Dec 2025 | 306.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002708 | 30 Jun 2025 | 176.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002710 | 27 Jun 2025 | 209.00 | NORTHSTAR MUTUAL | Not denied | — |