AMARA WILSON
Subscriber on policy B08M000371
Claims
2
Attributed to this person
Charged
587.00
Total submitted
Denied
98.00
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 | AMARA WILSON |
| Role on the policy | Subscriber |
| Policy | B08M000371 |
| Date of birth | 15 Jan 1976 |
| Plan | GOLD PPO |
| Covered from | 14 May 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001691 | 23 Mar 2026 | 489.00 | CASCADE CARE | Not denied | — |
| CLM0001692 | 28 Apr 2024 | 98.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 98.00 |