YUSUF HUGHES
Dependent on policy B10M000584
Claims
3
Attributed to this person
Charged
747.00
Total submitted
Denied
338.00
1 denied claims
Patient responsibility
56.00
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 | YUSUF HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000584 |
| Date of birth | 29 Jan 1958 |
| Plan | BRONZE EPO |
| Covered from | 13 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 56.00 |
| Total | 56.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002422 | 22 Nov 2025 | 129.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002421 | 14 Oct 2025 | 280.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002420 | 21 Jul 2025 | 338.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 338.00 |