JULIA WILSON
Subscriber on policy B03M000689
Claims
3
Attributed to this person
Charged
1,874.00
Total submitted
Denied
1,088.00
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 | Subscriber |
| Policy | B03M000689 |
| Date of birth | 4 Jan 1988 |
| Plan | PLATINUM PPO |
| Covered from | 20 Jun 2025 |
| Covered to | 21 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002865 | 11 Mar 2026 | 817.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 817.00 |
| CLM0002863 | 13 Nov 2025 | 271.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 271.00 |
| CLM0002864 | 5 Aug 2025 | 786.00 | CASCADE CARE | Not denied | — |