MARCUS HUGHES
Subscriber on policy B07M000532
Claims
3
Attributed to this person
Charged
1,403.00
Total submitted
Denied
490.00
1 denied claims
Patient responsibility
66.75
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 | MARCUS HUGHES |
| Role on the policy | Subscriber |
| Policy | B07M000532 |
| Date of birth | 27 Dec 1959 |
| Plan | GOLD PPO |
| Covered from | 6 Mar 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 66.75 |
| Total | 66.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002267 | 18 Apr 2026 | 468.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002266 | 29 Nov 2025 | 490.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 490.00 |
| CLM0002265 | 11 Oct 2025 | 445.00 | NORTHSTAR MUTUAL | Not denied | — |