GRACE HUGHES
Subscriber on policy B02M000476
Claims
3
Attributed to this person
Charged
1,952.00
Total submitted
Denied
573.00
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 | GRACE HUGHES |
| Role on the policy | Subscriber |
| Policy | B02M000476 |
| Date of birth | 13 Jun 1984 |
| Plan | GOLD PPO |
| Covered from | 28 Nov 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 |
|---|---|---|---|---|---|
| CLM0002021 | 20 Nov 2025 | 678.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002020 | 24 Jul 2025 | 573.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 573.00 |
| CLM0002019 | 8 May 2025 | 701.00 | NORTHSTAR MUTUAL | Not denied | — |