ELENA HUGHES
Dependent on policy B06M000357
Claims
3
Attributed to this person
Charged
598.00
Total submitted
Denied
81.00
1 denied claims
Patient responsibility
55.40
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 | ELENA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000357 |
| Date of birth | 10 Mar 2019 |
| Plan | SILVER HMO |
| Covered from | 14 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 55.40 |
| Total | 55.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001629 | 27 Jun 2026 | 277.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001628 | 9 Dec 2025 | 81.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 81.00 |
| CLM0001630 | 19 Aug 2025 | 240.00 | NORTHSTAR MUTUAL | Not denied | — |