AMARA HUGHES
Subscriber on policy B01M000574
Claims
2
Attributed to this person
Charged
1,080.00
Total submitted
Denied
160.57
1 denied claims
Patient responsibility
68.80
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 | AMARA HUGHES |
| Role on the policy | Subscriber |
| Policy | B01M000574 |
| Date of birth | 30 Mar 2001 |
| Plan | SILVER HMO |
| Covered from | 14 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 68.80 |
| Total | 68.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002555 | 2 Feb 2026 | 736.00 | CASCADE CARE | CARC 11 · CODING | 160.57 |
| CLM0002556 | 25 Jun 2025 | 344.00 | CASCADE CARE | Not denied | — |