HENRY HUGHES
Dependent on policy B10M000161
Claims
3
Attributed to this person
Charged
829.00
Total submitted
Denied
406.00
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 | HENRY HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000161 |
| Date of birth | 18 Mar 2001 |
| Plan | SILVER HMO |
| Covered from | 13 Feb 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 |
|---|---|---|---|---|---|
| CLM0000671 | 6 Jan 2026 | 406.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 406.00 |
| CLM0000670 | 11 Dec 2024 | 315.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000672 | 14 Sep 2024 | 108.00 | MERIDIAN HEALTH PLAN | Not denied | — |