PRIYA WILSON
Subscriber on policy B05M000439
Claims
2
Attributed to this person
Charged
808.00
Total submitted
Denied
421.00
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 | B05M000439 |
| Date of birth | 26 Mar 1990 |
| Plan | BRONZE EPO |
| Covered from | 13 Sep 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 |
|---|---|---|---|---|---|
| CLM0001849 | 30 May 2026 | 387.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001850 | 14 Nov 2024 | 421.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 421.00 |