BRIAN WILSON
Dependent on policy B05M000591
Claims
2
Attributed to this person
Charged
613.00
Total submitted
Denied
613.00
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 | BRIAN WILSON |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000591 |
| Date of birth | 16 Nov 1974 |
| Plan | BRONZE EPO |
| Covered from | 8 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 |
|---|---|---|---|---|---|
| CLM0002530 | 28 May 2026 | 303.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 303.00 |
| CLM0002531 | 17 Feb 2025 | 310.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 310.00 |