BRIAN HUGHES
Subscriber on policy B01M000492
Claims
2
Attributed to this person
Charged
1,379.00
Total submitted
Denied
484.00
1 denied claims
Patient responsibility
179.00
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 | BRIAN HUGHES |
| Role on the policy | Subscriber |
| Policy | B01M000492 |
| Date of birth | 14 Nov 1972 |
| Plan | BRONZE EPO |
| Covered from | 13 Jun 2025 |
| Covered to | 8 Dec 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 179.00 |
| Total | 179.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002194 | 17 Jan 2026 | 484.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 484.00 |
| CLM0002195 | 30 Jul 2025 | 895.00 | CASCADE CARE | Not denied | — |