JULIA WILSON
Dependent on policy B03M000170
Claims
1
Attributed to this person
Charged
355.00
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 | JULIA WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000170 |
| Date of birth | 28 Mar 1961 |
| Plan | GOLD PPO |
| Covered from | 11 Dec 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 |
|---|---|---|---|---|---|
| CLM0000695 | 8 Sep 2025 | 355.00 | NORTHSTAR MUTUAL | Not denied | — |