DAVID WILSON
Subscriber on policy B08M000793
Claims
2
Attributed to this person
Charged
925.00
Total submitted
Denied
196.57
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 | DAVID WILSON |
| Role on the policy | Subscriber |
| Policy | B08M000793 |
| Date of birth | 20 Jul 1970 |
| Plan | PLATINUM PPO |
| Covered from | 8 Mar 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 |
|---|---|---|---|---|---|
| CLM0003539 | 20 Mar 2026 | 417.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 196.57 |
| CLM0003538 | 1 Mar 2024 | 508.00 | MERIDIAN HEALTH PLAN | Not denied | — |