OMAR HUGHES
Subscriber on policy B08M000563
Claims
3
Attributed to this person
Charged
2,131.00
Total submitted
Denied
0.00
0 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 | OMAR HUGHES |
| Role on the policy | Subscriber |
| Policy | B08M000563 |
| Date of birth | 12 Oct 2002 |
| Plan | PLATINUM PPO |
| Covered from | 31 Jan 2025 |
| Covered to | 23 Jul 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 |
|---|---|---|---|---|---|
| CLM0002565 | 13 Jul 2025 | 610.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002566 | 3 Apr 2025 | 681.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002567 | 29 Mar 2025 | 840.00 | NORTHSTAR MUTUAL | Not denied | — |