RAVI HUGHES
Dependent on policy B09M000630
Claims
3
Attributed to this person
Charged
1,025.00
Total submitted
Denied
170.00
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 | RAVI HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000630 |
| Date of birth | 20 Feb 1957 |
| Plan | GOLD PPO |
| Covered from | 29 May 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002670 | 9 Jul 2026 | 563.00 | CASCADE CARE | Not denied | — |
| CLM0002672 | 26 Dec 2024 | 292.00 | CASCADE CARE | Not denied | — |
| CLM0002671 | 2 Nov 2024 | 170.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 170.00 |