RAVI WILSON
Dependent on policy B01M000012
Claims
2
Attributed to this person
Charged
650.00
Total submitted
Denied
269.00
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 | RAVI WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000012 |
| Date of birth | 19 Jul 1998 |
| Plan | GOLD PPO |
| Covered from | 28 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 |
|---|---|---|---|---|---|
| CLM0000044 | 7 Mar 2026 | 381.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000045 | 22 Feb 2026 | 269.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 269.00 |