IVAN WILSON
Subscriber on policy B06M000271
Claims
1
Attributed to this person
Charged
825.00
Total submitted
Denied
825.00
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 | IVAN WILSON |
| Role on the policy | Subscriber |
| Policy | B06M000271 |
| Date of birth | 16 Mar 1952 |
| Plan | BRONZE EPO |
| Covered from | 22 Feb 2025 |
| Covered to | 18 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001275 | 18 Mar 2025 | 825.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 825.00 |