WENDY WILSON
Dependent on policy B08M000084
Claims
1
Attributed to this person
Charged
761.00
Total submitted
Denied
196.28
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 | WENDY WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000084 |
| Date of birth | 29 Mar 1986 |
| Plan | GOLD PPO |
| Covered from | 24 Apr 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 |
|---|---|---|---|---|---|
| CLM0000369 | 5 Oct 2025 | 761.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 196.28 |