MARCUS WILSON
Subscriber on policy B09M000029
Claims
3
Attributed to this person
Charged
569.00
Total submitted
Denied
569.00
3 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 | MARCUS WILSON |
| Role on the policy | Subscriber |
| Policy | B09M000029 |
| Date of birth | 1 Aug 1962 |
| Plan | BRONZE EPO |
| Covered from | 4 Aug 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 |
|---|---|---|---|---|---|
| CLM0000131 | 19 Dec 2024 | 230.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 230.00 |
| CLM0000130 | 20 Nov 2024 | 124.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 124.00 |
| CLM0000132 | 7 Jul 2024 | 215.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 215.00 |