ZARA HUGHES
Dependent on policy B02M000538
Claims
1
Attributed to this person
Charged
460.00
Total submitted
Denied
460.00
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 | Dependent · relationship 01 |
| Policy | B02M000538 |
| Date of birth | 10 Oct 1972 |
| Plan | GOLD PPO |
| Covered from | 7 Oct 2024 |
| Covered to | 2 Mar 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 |
|---|---|---|---|---|---|
| CLM0002272 | 2 Oct 2024 | 460.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 460.00 |