NADIA WILSON
Subscriber on policy B02M000798
Claims
1
Attributed to this person
Charged
75.00
Total submitted
Denied
20.99
1 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 | Subscriber |
| Policy | B02M000798 |
| Date of birth | 16 Jul 1969 |
| Plan | GOLD PPO |
| Covered from | 26 Oct 2024 |
| Covered to | 28 Jul 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 |
|---|---|---|---|---|---|
| CLM0003338 | 3 May 2025 | 75.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 20.99 |