OMAR HUGHES
Dependent on policy B06M000826
Claims
1
Attributed to this person
Charged
292.00
Total submitted
Denied
76.55
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 | OMAR HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000826 |
| Date of birth | 9 Aug 2016 |
| Plan | GOLD PPO |
| Covered from | 2 Mar 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 |
|---|---|---|---|---|---|
| CLM0003619 | 5 Jul 2025 | 292.00 | CASCADE CARE | CARC 18 · DUPLICATE | 76.55 |