CARLA HUGHES
Subscriber on policy B07M000704
Claims
3
Attributed to this person
Charged
1,315.00
Total submitted
Denied
687.00
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 | CARLA HUGHES |
| Role on the policy | Subscriber |
| Policy | B07M000704 |
| Date of birth | 17 Feb 1955 |
| Plan | BRONZE EPO |
| Covered from | 13 Mar 2025 |
| Covered to | 5 Jan 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002914 | 14 Feb 2026 | 687.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 687.00 |
| CLM0002916 | 9 Jun 2025 | 395.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002915 | 4 Jun 2025 | 233.00 | NORTHSTAR MUTUAL | Not denied | — |