IVAN HUGHES
Dependent on policy B08M000406
Claims
3
Attributed to this person
Charged
910.00
Total submitted
Denied
853.11
3 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 | IVAN HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000406 |
| Date of birth | 13 Jun 1983 |
| Plan | SILVER HMO |
| Covered from | 31 Dec 2024 |
| Covered to | 12 Oct 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 |
|---|---|---|---|---|---|
| CLM0001870 | 15 Nov 2025 | 628.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 628.00 |
| CLM0001869 | 8 Sep 2025 | 82.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 25.11 |
| CLM0001868 | 5 Jun 2025 | 200.00 | CASCADE CARE | CARC 18 · DUPLICATE | 200.00 |