VICTOR WILSON
Dependent on policy B07M000154
Claims
1
Attributed to this person
Charged
447.00
Total submitted
Denied
447.00
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 | VICTOR WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000154 |
| Date of birth | 15 Aug 1986 |
| Plan | SILVER HMO |
| Covered from | 12 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 |
|---|---|---|---|---|---|
| CLM0000632 | 8 Oct 2025 | 447.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 447.00 |