WENDY HUGHES
Subscriber on policy B01M000476
Claims
2
Attributed to this person
Charged
1,061.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
162.60
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 | WENDY HUGHES |
| Role on the policy | Subscriber |
| Policy | B01M000476 |
| Date of birth | 11 Aug 2001 |
| Plan | PLATINUM PPO |
| Covered from | 18 Mar 2025 |
| Covered to | 6 Sep 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 162.60 |
| Total | 162.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002115 | 31 Jul 2025 | 813.00 | CASCADE CARE | Not denied | — |
| CLM0002116 | 8 Mar 2025 | 248.00 | CASCADE CARE | Not denied | — |