AMARA WILSON
Subscriber on policy B01M000086
Claims
1
Attributed to this person
Charged
525.00
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 | AMARA WILSON |
| Role on the policy | Subscriber |
| Policy | B01M000086 |
| Date of birth | 1 Jan 1985 |
| Plan | SILVER HMO |
| Covered from | 2 Mar 2024 |
| Covered to | 10 Aug 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000343 | 23 Apr 2024 | 525.00 | MERIDIAN HEALTH PLAN | Not denied | — |