ZARA HUGHES
Dependent on policy B08M000432
Claims
3
Attributed to this person
Charged
1,205.00
Total submitted
Denied
958.00
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 | ZARA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000432 |
| Date of birth | 5 Apr 1999 |
| Plan | BRONZE EPO |
| Covered from | 4 Jul 2024 |
| Covered to | 15 Jan 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 |
|---|---|---|---|---|---|
| CLM0001985 | 25 Feb 2025 | 135.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 135.00 |
| CLM0001986 | 23 Feb 2025 | 247.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001984 | 8 Dec 2024 | 823.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 823.00 |