FIONA WILSON
Subscriber on policy B08M000303
Claims
3
Attributed to this person
Charged
1,380.00
Total submitted
Denied
879.00
1 denied claims
Patient responsibility
86.20
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 | FIONA WILSON |
| Role on the policy | Subscriber |
| Policy | B08M000303 |
| Date of birth | 2 Jun 1987 |
| Plan | SILVER HMO |
| Covered from | 22 May 2025 |
| Covered to | 18 Jan 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 86.20 |
| Total | 86.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001409 | 17 Jul 2025 | 431.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001407 | 25 Jun 2025 | 70.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001408 | 27 Apr 2025 | 879.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 879.00 |