KEVIN HUGHES
Dependent on policy B01M000476
Claims
1
Attributed to this person
Charged
766.00
Total submitted
Denied
296.65
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 | KEVIN HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000476 |
| Date of birth | 28 Feb 2022 |
| Plan | PLATINUM PPO |
| Covered from | 18 Mar 2025 |
| Covered to | 6 Sep 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 |
|---|---|---|---|---|---|
| CLM0002121 | 24 Aug 2025 | 766.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 296.65 |