BRIAN HUGHES
Dependent on policy B07M000656
Claims
3
Attributed to this person
Charged
1,771.00
Total submitted
Denied
755.00
1 denied claims
Patient responsibility
35.40
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 | BRIAN HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000656 |
| Date of birth | 22 Sep 2008 |
| Plan | BRONZE EPO |
| Covered from | 5 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 35.40 |
| Total | 35.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002740 | 19 Nov 2025 | 177.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002739 | 13 Sep 2024 | 839.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002738 | 11 May 2024 | 755.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 755.00 |