BRIAN HUGHES
Dependent on policy B07M000817
Claims
3
Attributed to this person
Charged
2,108.00
Total submitted
Denied
1,616.00
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 | BRIAN HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000817 |
| Date of birth | 24 Dec 2018 |
| Plan | SILVER HMO |
| Covered from | 25 Apr 2024 |
| Covered to | 14 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003354 | 1 Mar 2025 | 812.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 812.00 |
| CLM0003352 | 5 Feb 2025 | 492.00 | CASCADE CARE | Not denied | — |
| CLM0003353 | 2 Dec 2024 | 804.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 804.00 |