NADIA HUGHES
Dependent on policy B10M000722
Claims
2
Attributed to this person
Charged
975.00
Total submitted
Denied
315.00
1 denied claims
Patient responsibility
132.00
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 | NADIA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000722 |
| Date of birth | 3 Jul 1998 |
| Plan | SILVER HMO |
| Covered from | 6 Jul 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 132.00 |
| Total | 132.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003033 | 19 Jun 2025 | 660.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003034 | 2 Feb 2025 | 315.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 315.00 |