KEVIN HUGHES
Subscriber on policy B09M000521
Claims
2
Attributed to this person
Charged
508.00
Total submitted
Denied
435.86
2 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 | Subscriber |
| Policy | B09M000521 |
| Date of birth | 26 Jan 2003 |
| Plan | PLATINUM PPO |
| Covered from | 8 Mar 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 |
|---|---|---|---|---|---|
| CLM0002209 | 26 Mar 2026 | 103.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 30.86 |
| CLM0002208 | 21 Feb 2025 | 405.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 405.00 |