IVAN WILSON
Dependent on policy B01M000822
Claims
3
Attributed to this person
Charged
1,174.00
Total submitted
Denied
144.75
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 | IVAN WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000822 |
| Date of birth | 26 May 2001 |
| Plan | GOLD PPO |
| Covered from | 23 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003653 | 26 Apr 2026 | 468.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 144.75 |
| CLM0003655 | 27 Sep 2025 | 538.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003654 | 22 Aug 2025 | 168.00 | MERIDIAN HEALTH PLAN | Not denied | — |