DAVID WILSON
Subscriber on policy B10M000556
Claims
3
Attributed to this person
Charged
1,236.00
Total submitted
Denied
609.13
3 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 | Subscriber |
| Policy | B10M000556 |
| Date of birth | 15 Dec 1969 |
| Plan | SILVER HMO |
| Covered from | 23 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002300 | 26 Feb 2026 | 807.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 180.13 |
| CLM0002299 | 26 Jan 2026 | 149.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 149.00 |
| CLM0002298 | 25 Sep 2025 | 280.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 280.00 |