ELENA WILSON
Subscriber on policy B05M000433
Claims
3
Attributed to this person
Charged
1,117.00
Total submitted
Denied
622.00
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 | ELENA WILSON |
| Role on the policy | Subscriber |
| Policy | B05M000433 |
| Date of birth | 11 Feb 1968 |
| Plan | SILVER HMO |
| Covered from | 16 Jun 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 |
|---|---|---|---|---|---|
| CLM0001821 | 7 Jan 2026 | 492.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 492.00 |
| CLM0001820 | 23 Jun 2025 | 130.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 130.00 |
| CLM0001822 | 15 May 2025 | 495.00 | MERIDIAN HEALTH PLAN | Not denied | — |