IVAN WILSON
Subscriber on policy B09M000639
Claims
2
Attributed to this person
Charged
1,708.00
Total submitted
Denied
0.00
0 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 | IVAN WILSON |
| Role on the policy | Subscriber |
| Policy | B09M000639 |
| Date of birth | 29 Jan 1964 |
| Plan | PLATINUM PPO |
| Covered from | 6 Dec 2024 |
| Covered to | 2 Oct 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 |
|---|---|---|---|---|---|
| CLM0002713 | 1 Apr 2025 | 835.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002714 | 19 Feb 2025 | 873.00 | MERIDIAN HEALTH PLAN | Not denied | — |