MARCUS WILSON
Dependent on policy B08M000300
Claims
2
Attributed to this person
Charged
1,575.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
451.75
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 | B08M000300 |
| Date of birth | 9 Mar 1981 |
| Plan | BRONZE EPO |
| Covered from | 7 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 451.75 |
| Total | 451.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001394 | 22 Dec 2025 | 880.00 | CASCADE CARE | Not denied | — |
| CLM0001395 | 5 Jun 2025 | 695.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |