VICTOR HUGHES
Subscriber on policy B01M000881
Claims
3
Attributed to this person
Charged
1,833.00
Total submitted
Denied
456.75
2 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 | VICTOR HUGHES |
| Role on the policy | Subscriber |
| Policy | B01M000881 |
| Date of birth | 22 Oct 1982 |
| Plan | SILVER HMO |
| Covered from | 11 Nov 2024 |
| Covered to | 22 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003903 | 9 Jul 2025 | 748.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 340.96 |
| CLM0003901 | 11 Jun 2025 | 633.00 | CASCADE CARE | Not denied | — |
| CLM0003902 | 4 Mar 2025 | 452.00 | CASCADE CARE | CARC 96 · NON_COVERED | 115.79 |