JULIA WILSON
Subscriber on policy B10M000010
Claims
1
Attributed to this person
Charged
213.00
Total submitted
Denied
213.00
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 | JULIA WILSON |
| Role on the policy | Subscriber |
| Policy | B10M000010 |
| Date of birth | 21 Jun 2002 |
| Plan | BRONZE EPO |
| Covered from | 16 Aug 2024 |
| Covered to | 14 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000034 | 21 Dec 2024 | 213.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 213.00 |