PRIYA WILSON
Dependent on policy B03M000642
Claims
2
Attributed to this person
Charged
1,149.00
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 | PRIYA WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000642 |
| Date of birth | 24 Feb 2007 |
| 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 |
|---|---|---|---|---|---|
| CLM0002660 | 14 May 2025 | 550.00 | CASCADE CARE | Not denied | — |
| CLM0002659 | 1 Mar 2025 | 599.00 | CASCADE CARE | Not denied | — |