HENRY WILSON
Subscriber on policy B08M000884
Claims
2
Attributed to this person
Charged
641.00
Total submitted
Denied
401.00
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 | HENRY WILSON |
| Role on the policy | Subscriber |
| Policy | B08M000884 |
| Date of birth | 23 Feb 1985 |
| Plan | BRONZE EPO |
| Covered from | 2 Feb 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 |
|---|---|---|---|---|---|
| CLM0003956 | 11 Mar 2026 | 240.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003957 | 13 Jan 2025 | 401.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 401.00 |