FIONA WILSON
Dependent on policy B03M000128
Claims
2
Attributed to this person
Charged
672.00
Total submitted
Denied
258.26
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 | FIONA WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000128 |
| Date of birth | 23 Oct 1999 |
| Plan | PLATINUM PPO |
| Covered from | 23 Jan 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 |
|---|---|---|---|---|---|
| CLM0000517 | 22 Apr 2025 | 571.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 258.26 |
| CLM0000516 | 25 Jan 2025 | 101.00 | MERIDIAN HEALTH PLAN | Not denied | — |