SOFIA HUGHES
Dependent on policy B01M000883
Claims
3
Attributed to this person
Charged
1,663.00
Total submitted
Denied
1,485.00
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 | SOFIA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000883 |
| Date of birth | 24 Oct 1998 |
| Plan | GOLD PPO |
| Covered from | 31 Jan 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 |
|---|---|---|---|---|---|
| CLM0003913 | 28 Nov 2025 | 178.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003914 | 14 Apr 2025 | 741.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 741.00 |
| CLM0003912 | 5 Feb 2025 | 744.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 744.00 |