FIONA HUGHES
Subscriber on policy B09M000194
Claims
1
Attributed to this person
Charged
553.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
110.60
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 | FIONA HUGHES |
| Role on the policy | Subscriber |
| Policy | B09M000194 |
| Date of birth | 29 Jul 2004 |
| Plan | SILVER HMO |
| Covered from | 21 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 110.60 |
| Total | 110.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000806 | 9 Jul 2025 | 553.00 | NORTHSTAR MUTUAL | Not denied | — |