NADIA WILSON
Dependent on policy B06M000539
Claims
3
Attributed to this person
Charged
717.00
Total submitted
Denied
428.00
2 denied claims
Patient responsibility
60.45
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 | NADIA WILSON |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000539 |
| Date of birth | 26 Oct 2004 |
| Plan | GOLD PPO |
| Covered from | 13 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 60.45 |
| Total | 60.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002401 | 15 Apr 2026 | 196.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002402 | 6 Mar 2026 | 428.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 428.00 |
| CLM0002403 | 28 Mar 2025 | 93.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |