KEVIN WILSON
Subscriber on policy B03M000642
Claims
3
Attributed to this person
Charged
1,383.00
Total submitted
Denied
197.56
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 | B03M000642 |
| Date of birth | 7 Jun 1978 |
| Plan | BRONZE EPO |
| Covered from | 16 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 |
|---|---|---|---|---|---|
| CLM0002652 | 9 Feb 2026 | 637.00 | CASCADE CARE | Not denied | — |
| CLM0002654 | 4 Jun 2025 | 493.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 197.56 |
| CLM0002653 | 30 Jan 2025 | 253.00 | CASCADE CARE | Not denied | — |