VICTOR HUGHES
Subscriber on policy B09M000867
Claims
2
Attributed to this person
Charged
1,003.00
Total submitted
Denied
0.00
0 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 | VICTOR HUGHES |
| Role on the policy | Subscriber |
| Policy | B09M000867 |
| Date of birth | 4 Aug 1955 |
| Plan | PLATINUM PPO |
| Covered from | 21 Mar 2024 |
| Covered to | 8 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003683 | 22 May 2024 | 650.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003682 | 21 Mar 2024 | 353.00 | NORTHSTAR MUTUAL | Not denied | — |