MARCUS HUGHES
Subscriber on policy B08M000100
Claims
2
Attributed to this person
Charged
1,270.00
Total submitted
Denied
121.33
1 denied claims
Patient responsibility
166.60
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 | MARCUS HUGHES |
| Role on the policy | Subscriber |
| Policy | B08M000100 |
| Date of birth | 25 Jan 1974 |
| Plan | SILVER HMO |
| Covered from | 8 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 166.60 |
| Total | 166.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000436 | 24 Aug 2025 | 437.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 121.33 |
| CLM0000437 | 10 Oct 2024 | 833.00 | CASCADE CARE | Not denied | — |