JULIA HUGHES
Dependent on policy B02M000173
Claims
2
Attributed to this person
Charged
836.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
289.90
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 | JULIA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B02M000173 |
| Date of birth | 6 Mar 2018 |
| Plan | SILVER HMO |
| Covered from | 27 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 289.90 |
| Total | 289.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000783 | 21 Aug 2025 | 446.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000784 | 25 Jun 2024 | 390.00 | CASCADE CARE | Not denied | — |