FIONA WILSON
Subscriber on policy B08M000109
Claims
2
Attributed to this person
Charged
1,089.00
Total submitted
Denied
1,089.00
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 | FIONA WILSON |
| Role on the policy | Subscriber |
| Policy | B08M000109 |
| Date of birth | 8 May 1965 |
| Plan | GOLD PPO |
| Covered from | 6 Jun 2025 |
| Covered to | 13 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000476 | 13 May 2025 | 378.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 378.00 |
| CLM0000477 | 7 May 2025 | 711.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 711.00 |