HENRY HUGHES
Dependent on policy B09M000502
Claims
2
Attributed to this person
Charged
1,315.00
Total submitted
Denied
432.00
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 | HENRY HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000502 |
| Date of birth | 7 Mar 2003 |
| Plan | PLATINUM PPO |
| Covered from | 10 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002114 | 11 Apr 2026 | 432.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 432.00 |
| CLM0002115 | 19 Mar 2026 | 883.00 | NORTHSTAR MUTUAL | Not denied | — |