FIONA HUGHES
Dependent on policy B10M000069
Claims
3
Attributed to this person
Charged
1,865.00
Total submitted
Denied
487.00
1 denied claims
Patient responsibility
137.20
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 | B10M000069 |
| Date of birth | 7 Jan 1996 |
| Plan | PLATINUM PPO |
| Covered from | 24 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 137.20 |
| Total | 137.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000279 | 6 Jul 2025 | 487.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 487.00 |
| CLM0000278 | 28 May 2025 | 686.00 | CASCADE CARE | Not denied | — |
| CLM0000280 | 10 Apr 2025 | 692.00 | CASCADE CARE | Not denied | — |