NADIA HUGHES
Dependent on policy B06M000243
Claims
3
Attributed to this person
Charged
818.00
Total submitted
Denied
83.65
2 denied claims
Patient responsibility
301.60
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 HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000243 |
| Date of birth | 4 Oct 1950 |
| Plan | SILVER HMO |
| Covered from | 12 Apr 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 301.60 |
| Total | 301.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001154 | 21 Jul 2026 | 464.00 | NORTHSTAR MUTUAL | CARC 96 · NON_COVERED | 0.00 |
| CLM0001155 | 27 May 2026 | 235.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 83.65 |
| CLM0001156 | 22 Apr 2025 | 119.00 | NORTHSTAR MUTUAL | Not denied | — |