KEVIN WILSON
Subscriber on policy B02M000582
Claims
1
Attributed to this person
Charged
90.00
Total submitted
Denied
90.00
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 | KEVIN WILSON |
| Role on the policy | Subscriber |
| Policy | B02M000582 |
| Date of birth | 17 Jan 1965 |
| Plan | SILVER HMO |
| Covered from | 23 Oct 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 |
|---|---|---|---|---|---|
| CLM0002455 | 23 Apr 2025 | 90.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 90.00 |