CARLA WILSON
Subscriber on policy B08M000790
Claims
3
Attributed to this person
Charged
2,413.00
Total submitted
Denied
2,413.00
3 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 | Subscriber |
| Policy | B08M000790 |
| Date of birth | 10 Oct 1955 |
| Plan | PLATINUM PPO |
| Covered from | 18 Jun 2025 |
| Covered to | 29 Mar 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003527 | 24 May 2026 | 886.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 886.00 |
| CLM0003525 | 23 Apr 2026 | 776.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 776.00 |
| CLM0003526 | 5 Nov 2025 | 751.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 751.00 |