AMARA HUGHES
Subscriber on policy B09M000071
Claims
3
Attributed to this person
Charged
1,283.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
237.90
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 | AMARA HUGHES |
| Role on the policy | Subscriber |
| Policy | B09M000071 |
| Date of birth | 25 Aug 1960 |
| Plan | PLATINUM PPO |
| Covered from | 16 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 237.90 |
| Total | 237.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000320 | 23 Jul 2026 | 387.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000321 | 25 Jan 2026 | 530.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000319 | 22 Oct 2025 | 366.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 0.00 |