NADIA WILSON
Dependent on policy B02M000055
Claims
1
Attributed to this person
Charged
212.00
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 | NADIA WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000055 |
| Date of birth | 15 Jun 2007 |
| Plan | PLATINUM PPO |
| Covered from | 24 Feb 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000260 | 12 Aug 2024 | 212.00 | NORTHSTAR MUTUAL | Not denied | — |