CARLA WILSON
Dependent on policy B07M000476
Claims
2
Attributed to this person
Charged
909.00
Total submitted
Denied
822.00
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 | CARLA WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000476 |
| Date of birth | 7 Jul 2018 |
| Plan | PLATINUM PPO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0002030 | 2 Jun 2026 | 87.00 | CASCADE CARE | Not denied | — |
| CLM0002031 | 26 Mar 2026 | 822.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 822.00 |