GRACE HUGHES
Subscriber on policy B01M000233
Claims
2
Attributed to this person
Charged
1,337.00
Total submitted
Denied
802.00
1 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 | GRACE HUGHES |
| Role on the policy | Subscriber |
| Policy | B01M000233 |
| Date of birth | 20 Apr 1995 |
| Plan | BRONZE EPO |
| Covered from | 13 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000987 | 6 Oct 2025 | 802.00 | CASCADE CARE | CARC 11 · CODING | 802.00 |
| CLM0000986 | 24 Jan 2025 | 535.00 | CASCADE CARE | Not denied | — |