MARCUS HUGHES
Dependent on policy B06M000155
Claims
3
Attributed to this person
Charged
641.00
Total submitted
Denied
641.00
3 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 | MARCUS HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000155 |
| Date of birth | 2 Aug 1995 |
| Plan | PLATINUM PPO |
| Covered from | 2 Feb 2025 |
| Covered to | 2 Aug 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 |
|---|---|---|---|---|---|
| CLM0000773 | 9 Aug 2025 | 110.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 110.00 |
| CLM0000774 | 7 Aug 2025 | 113.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 113.00 |
| CLM0000775 | 17 Jul 2025 | 418.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 418.00 |