JULIA WILSON
Subscriber on policy B10M000435
Claims
3
Attributed to this person
Charged
1,325.00
Total submitted
Denied
161.00
1 denied claims
Patient responsibility
123.30
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 | B10M000435 |
| Date of birth | 14 Jul 1979 |
| Plan | SILVER HMO |
| Covered from | 19 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 123.30 |
| Total | 123.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001805 | 23 Aug 2026 | 342.00 | CASCADE CARE | Not denied | — |
| CLM0001804 | 16 Apr 2026 | 161.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 161.00 |
| CLM0001806 | 8 Jun 2025 | 822.00 | CASCADE CARE | Not denied | — |