MARCUS WILSON
Dependent on policy B08M000104
Claims
2
Attributed to this person
Charged
1,312.00
Total submitted
Denied
1,012.61
2 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 | MARCUS WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000104 |
| Date of birth | 13 Oct 1978 |
| Plan | SILVER HMO |
| Covered from | 29 Apr 2025 |
| Covered to | 30 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000460 | 18 Aug 2025 | 500.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 200.61 |
| CLM0000459 | 7 Jul 2025 | 812.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 812.00 |