KEVIN HUGHES
Dependent on policy B02M000496
Claims
1
Attributed to this person
Charged
224.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
33.60
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 | KEVIN HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000496 |
| Date of birth | 3 Aug 1976 |
| Plan | BRONZE EPO |
| Covered from | 7 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 33.60 |
| Total | 33.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002114 | 29 Jul 2025 | 224.00 | MERIDIAN HEALTH PLAN | Not denied | — |