FIONA HUGHES
Subscriber on policy B02M000179
Claims
2
Attributed to this person
Charged
958.00
Total submitted
Denied
239.77
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 | FIONA HUGHES |
| Role on the policy | Subscriber |
| Policy | B02M000179 |
| Date of birth | 23 Jul 2004 |
| Plan | PLATINUM PPO |
| Covered from | 9 May 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 |
|---|---|---|---|---|---|
| CLM0000799 | 31 Aug 2024 | 298.00 | CASCADE CARE | Not denied | — |
| CLM0000800 | 9 Jul 2024 | 660.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 239.77 |