ZARA HUGHES
Subscriber on policy B10M000564
Claims
1
Attributed to this person
Charged
782.00
Total submitted
Denied
782.00
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 | ZARA HUGHES |
| Role on the policy | Subscriber |
| Policy | B10M000564 |
| Date of birth | 29 Oct 1953 |
| Plan | BRONZE EPO |
| Covered from | 15 Mar 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 |
|---|---|---|---|---|---|
| CLM0002333 | 20 Jan 2025 | 782.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 782.00 |