FIONA HUGHES
Subscriber on policy B08M000432
Claims
3
Attributed to this person
Charged
1,103.00
Total submitted
Denied
620.00
2 denied claims
Patient responsibility
72.45
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 | FIONA HUGHES |
| Role on the policy | Subscriber |
| Policy | B08M000432 |
| Date of birth | 24 Apr 2002 |
| Plan | BRONZE EPO |
| Covered from | 4 Jul 2024 |
| Covered to | 15 Jan 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 72.45 |
| Total | 72.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001981 | 25 Feb 2025 | 331.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 331.00 |
| CLM0001983 | 22 Feb 2025 | 483.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001982 | 28 Oct 2024 | 289.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 289.00 |