MARCUS WILSON
Dependent on policy B10M000260
Claims
1
Attributed to this person
Charged
298.00
Total submitted
Denied
298.00
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 | MARCUS WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000260 |
| Date of birth | 28 Jun 1963 |
| Plan | BRONZE EPO |
| Covered from | 9 Jul 2024 |
| Covered to | 26 Mar 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 |
|---|---|---|---|---|---|
| CLM0001067 | 27 Aug 2024 | 298.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 298.00 |