CARLA HUGHES
Subscriber on policy B10M000399
Claims
3
Attributed to this person
Charged
1,513.00
Total submitted
Denied
138.00
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 | CARLA HUGHES |
| Role on the policy | Subscriber |
| Policy | B10M000399 |
| Date of birth | 17 Nov 1991 |
| Plan | SILVER HMO |
| Covered from | 27 Jun 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 |
|---|---|---|---|---|---|
| CLM0001654 | 3 Jan 2026 | 138.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 138.00 |
| CLM0001655 | 25 Dec 2024 | 497.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001653 | 27 Jun 2024 | 878.00 | NORTHSTAR MUTUAL | Not denied | — |