PRIYA HUGHES
Dependent on policy B08M000477
Claims
2
Attributed to this person
Charged
332.00
Total submitted
Denied
181.00
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 | PRIYA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000477 |
| Date of birth | 26 Aug 1955 |
| Plan | GOLD PPO |
| Covered from | 14 Jul 2024 |
| Covered to | 8 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 |
|---|---|---|---|---|---|
| CLM0002218 | 1 Oct 2024 | 151.00 | CASCADE CARE | Not denied | — |
| CLM0002219 | 7 Sep 2024 | 181.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 181.00 |