PRIYA WILSON
Subscriber on policy B05M000426
Claims
2
Attributed to this person
Charged
779.00
Total submitted
Denied
485.00
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 | PRIYA WILSON |
| Role on the policy | Subscriber |
| Policy | B05M000426 |
| Date of birth | 21 Oct 1958 |
| Plan | PLATINUM PPO |
| Covered from | 20 Jun 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 |
|---|---|---|---|---|---|
| CLM0001794 | 19 Apr 2026 | 294.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001795 | 18 Mar 2026 | 485.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 485.00 |