MARCUS WILSON
Subscriber on policy B03M000549
Claims
1
Attributed to this person
Charged
398.00
Total submitted
Denied
398.00
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 | MARCUS WILSON |
| Role on the policy | Subscriber |
| Policy | B03M000549 |
| Date of birth | 28 Dec 1994 |
| Plan | SILVER HMO |
| Covered from | 22 Jul 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 |
|---|---|---|---|---|---|
| CLM0002257 | 9 Jul 2024 | 398.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 398.00 |