DAVID HUGHES
Subscriber on policy B06M000855
Claims
2
Attributed to this person
Charged
545.00
Total submitted
Denied
203.00
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 | DAVID HUGHES |
| Role on the policy | Subscriber |
| Policy | B06M000855 |
| Date of birth | 26 Jan 1976 |
| Plan | SILVER HMO |
| Covered from | 28 May 2024 |
| Covered to | 13 Feb 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 |
|---|---|---|---|---|---|
| CLM0003744 | 24 Aug 2024 | 342.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003743 | 2 May 2024 | 203.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 203.00 |