SOFIA HUGHES
Dependent on policy B09M000842
Claims
3
Attributed to this person
Charged
1,199.00
Total submitted
Denied
210.00
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 | SOFIA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000842 |
| Date of birth | 23 Jul 2012 |
| Plan | BRONZE EPO |
| Covered from | 18 Apr 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 |
|---|---|---|---|---|---|
| CLM0003587 | 18 Aug 2025 | 714.00 | CASCADE CARE | Not denied | — |
| CLM0003588 | 23 Jul 2024 | 275.00 | CASCADE CARE | Not denied | — |
| CLM0003589 | 13 Apr 2024 | 210.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 210.00 |