JULIA WILSON
Subscriber on policy B09M000103
Claims
3
Attributed to this person
Charged
1,305.00
Total submitted
Denied
246.24
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 | JULIA WILSON |
| Role on the policy | Subscriber |
| Policy | B09M000103 |
| Date of birth | 21 Sep 1988 |
| Plan | SILVER HMO |
| Covered from | 20 Aug 2024 |
| Covered to | 16 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000439 | 23 Dec 2024 | 118.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 118.00 |
| CLM0000438 | 29 Nov 2024 | 383.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 128.24 |
| CLM0000437 | 23 Nov 2024 | 804.00 | MERIDIAN HEALTH PLAN | Not denied | — |