YUSUF WILSON
Subscriber on policy B09M000213
Claims
3
Attributed to this person
Charged
1,404.00
Total submitted
Denied
490.55
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 | YUSUF WILSON |
| Role on the policy | Subscriber |
| Policy | B09M000213 |
| Date of birth | 10 Mar 1979 |
| Plan | GOLD PPO |
| Covered from | 25 Sep 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 |
|---|---|---|---|---|---|
| CLM0000894 | 30 Jun 2026 | 473.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 473.00 |
| CLM0000893 | 20 May 2026 | 311.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 17.55 |
| CLM0000895 | 22 Feb 2025 | 620.00 | CASCADE CARE | Not denied | — |