FIONA WILSON
Dependent on policy B08M000468
Claims
2
Attributed to this person
Charged
238.00
Total submitted
Denied
112.00
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 | FIONA WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000468 |
| Date of birth | 17 Jan 1990 |
| Plan | PLATINUM PPO |
| Covered from | 3 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002169 | 23 Apr 2026 | 112.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 112.00 |
| CLM0002170 | 16 May 2025 | 126.00 | NORTHSTAR MUTUAL | Not denied | — |