AMARA WILSON
Subscriber on policy B01M000246
Claims
2
Attributed to this person
Charged
875.00
Total submitted
Denied
875.00
2 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 | AMARA WILSON |
| Role on the policy | Subscriber |
| Policy | B01M000246 |
| Date of birth | 5 Aug 1989 |
| Plan | SILVER HMO |
| Covered from | 7 Feb 2025 |
| Covered to | 28 Jun 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 |
|---|---|---|---|---|---|
| CLM0001047 | 19 Aug 2025 | 761.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 761.00 |
| CLM0001046 | 8 Jul 2025 | 114.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 114.00 |