AMARA HUGHES
Dependent on policy B06M000826
Claims
3
Attributed to this person
Charged
2,305.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
127.85
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 | AMARA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000826 |
| Date of birth | 1 Jun 1996 |
| Plan | GOLD PPO |
| Covered from | 2 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 107.85 |
| CARC 3 · Copay | 1 | 20.00 |
| Total | 127.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003618 | 25 Mar 2026 | 719.00 | CASCADE CARE | Not denied | — |
| CLM0003617 | 22 Feb 2026 | 827.00 | CASCADE CARE | Not denied | — |
| CLM0003616 | 2 May 2025 | 759.00 | CASCADE CARE | Not denied | — |