NADIA WILSON
Dependent on policy B10M000224
Claims
1
Attributed to this person
Charged
465.00
Total submitted
Denied
93.20
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 | NADIA WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000224 |
| Date of birth | 21 Nov 1969 |
| Plan | SILVER HMO |
| Covered from | 30 Mar 2025 |
| Covered to | 30 Jul 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 |
|---|---|---|---|---|---|
| CLM0000929 | 1 Jul 2025 | 465.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 93.20 |