DAVID WILSON
Dependent on policy B09M000312
Claims
3
Attributed to this person
Charged
1,112.00
Total submitted
Denied
71.46
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 | DAVID WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000312 |
| Date of birth | 29 Aug 1965 |
| Plan | PLATINUM PPO |
| Covered from | 14 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 |
|---|---|---|---|---|---|
| CLM0001285 | 1 May 2026 | 342.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 71.46 |
| CLM0001284 | 12 Jan 2026 | 254.00 | CASCADE CARE | Not denied | — |
| CLM0001283 | 11 Aug 2025 | 516.00 | CASCADE CARE | Not denied | — |