SOFIA HUGHES
Subscriber on policy B06M000163
Claims
3
Attributed to this person
Charged
997.00
Total submitted
Denied
889.11
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 | SOFIA HUGHES |
| Role on the policy | Subscriber |
| Policy | B06M000163 |
| Date of birth | 8 Aug 1964 |
| Plan | SILVER HMO |
| Covered from | 11 Mar 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 |
|---|---|---|---|---|---|
| CLM0000805 | 15 Apr 2025 | 154.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 46.11 |
| CLM0000806 | 10 Mar 2025 | 633.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 633.00 |
| CLM0000804 | 8 May 2024 | 210.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 210.00 |