JULIA WILSON
Dependent on policy B03M000605
Claims
2
Attributed to this person
Charged
987.00
Total submitted
Denied
987.00
2 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 19 |
| Policy | B03M000605 |
| Date of birth | 7 Mar 1974 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jun 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 |
|---|---|---|---|---|---|
| CLM0002490 | 7 Jan 2026 | 537.00 | CASCADE CARE | CARC 18 · DUPLICATE | 537.00 |
| CLM0002491 | 1 Nov 2024 | 450.00 | CASCADE CARE | CARC 18 · DUPLICATE | 450.00 |