NADIA HUGHES
Subscriber on policy B06M000813
Claims
1
Attributed to this person
Charged
743.00
Total submitted
Denied
233.16
1 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 | NADIA HUGHES |
| Role on the policy | Subscriber |
| Policy | B06M000813 |
| Date of birth | 16 Jun 1972 |
| Plan | PLATINUM PPO |
| Covered from | 4 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003575 | 17 Feb 2025 | 743.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 233.16 |