HENRY HUGHES
Subscriber on policy B02M000117
Claims
1
Attributed to this person
Charged
772.00
Total submitted
Denied
772.00
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 | HENRY HUGHES |
| Role on the policy | Subscriber |
| Policy | B02M000117 |
| Date of birth | 23 Nov 1983 |
| Plan | SILVER HMO |
| Covered from | 12 Apr 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 |
|---|---|---|---|---|---|
| CLM0000529 | 13 Dec 2024 | 772.00 | CASCADE CARE | CARC 18 · DUPLICATE | 772.00 |