FIONA HUGHES
Dependent on policy B10M000026
Claims
3
Attributed to this person
Charged
765.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
56.55
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 | FIONA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000026 |
| Date of birth | 28 Feb 1990 |
| Plan | BRONZE EPO |
| Covered from | 8 May 2025 |
| Covered to | 6 Feb 2026 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 2 | 56.55 |
| Total | 56.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000103 | 19 Feb 2026 | 307.00 | CASCADE CARE | Not denied | — |
| CLM0000105 | 21 Nov 2025 | 388.00 | CASCADE CARE | Not denied | — |
| CLM0000104 | 19 May 2025 | 70.00 | CASCADE CARE | Not denied | — |