SOFIA HUGHES
Subscriber on policy B06M000649
Claims
2
Attributed to this person
Charged
886.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
63.60
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 | SOFIA HUGHES |
| Role on the policy | Subscriber |
| Policy | B06M000649 |
| Date of birth | 17 May 1998 |
| Plan | BRONZE EPO |
| Covered from | 7 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 63.60 |
| Total | 63.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002874 | 9 Jul 2025 | 424.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002875 | 22 Nov 2024 | 462.00 | NORTHSTAR MUTUAL | Not denied | — |