JULIA HUGHES
Subscriber on policy B08M000349
Claims
1
Attributed to this person
Charged
528.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
343.20
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 | JULIA HUGHES |
| Role on the policy | Subscriber |
| Policy | B08M000349 |
| Date of birth | 8 Feb 1957 |
| Plan | SILVER HMO |
| Covered from | 28 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 343.20 |
| Total | 343.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001606 | 26 May 2025 | 528.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |