NADIA HUGHES
Subscriber on policy B01M000759
Claims
3
Attributed to this person
Charged
1,126.00
Total submitted
Denied
623.00
1 denied claims
Patient responsibility
40.00
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 | Subscriber |
| Policy | B01M000759 |
| Date of birth | 13 Jul 1959 |
| Plan | GOLD PPO |
| Covered from | 2 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 40.00 |
| Total | 40.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003376 | 7 Jul 2025 | 301.00 | CASCADE CARE | Not denied | — |
| CLM0003378 | 8 Dec 2024 | 623.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 623.00 |
| CLM0003377 | 6 Sep 2024 | 202.00 | CASCADE CARE | Not denied | — |