FIONA HUGHES
Subscriber on policy B02M000579
Claims
2
Attributed to this person
Charged
598.00
Total submitted
Denied
382.00
2 denied claims
Patient responsibility
140.40
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 | Subscriber |
| Policy | B02M000579 |
| Date of birth | 18 Jun 1983 |
| Plan | PLATINUM PPO |
| Covered from | 15 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 140.40 |
| Total | 140.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002442 | 19 Sep 2025 | 382.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 382.00 |
| CLM0002443 | 4 Jun 2025 | 216.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |