DAVID WILSON
Subscriber on policy B01M000308
Claims
2
Attributed to this person
Charged
763.00
Total submitted
Denied
0.00
0 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 | B01M000308 |
| Date of birth | 12 Dec 1990 |
| Plan | GOLD PPO |
| Covered from | 24 Apr 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 |
|---|---|---|---|---|---|
| CLM0001360 | 20 Jan 2026 | 546.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001361 | 24 Oct 2025 | 217.00 | MERIDIAN HEALTH PLAN | Not denied | — |