DAVID HUGHES
Subscriber on policy B09M000215
Claims
1
Attributed to this person
Charged
322.00
Total submitted
Denied
322.00
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 | DAVID HUGHES |
| Role on the policy | Subscriber |
| Policy | B09M000215 |
| Date of birth | 16 Sep 1967 |
| Plan | BRONZE EPO |
| Covered from | 26 May 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 |
|---|---|---|---|---|---|
| CLM0000900 | 29 Nov 2025 | 322.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 322.00 |