PRIYA WILSON
Dependent on policy B08M000119
Claims
2
Attributed to this person
Charged
461.00
Total submitted
Denied
339.00
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 | PRIYA WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000119 |
| Date of birth | 28 Nov 2005 |
| Plan | BRONZE EPO |
| 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 |
|---|---|---|---|---|---|
| CLM0000531 | 22 Oct 2025 | 122.00 | CASCADE CARE | Not denied | — |
| CLM0000530 | 12 Apr 2025 | 339.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 339.00 |