KEVIN HUGHES
Dependent on policy B07M000532
Claims
3
Attributed to this person
Charged
2,162.00
Total submitted
Denied
711.92
2 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 | KEVIN HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000532 |
| Date of birth | 18 Dec 1951 |
| Plan | GOLD PPO |
| Covered from | 6 Mar 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002269 | 20 Mar 2026 | 855.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002268 | 9 Sep 2024 | 789.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 193.92 |
| CLM0002270 | 11 Feb 2024 | 518.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 518.00 |