SOFIA HUGHES
Subscriber on policy B02M000248
Claims
1
Attributed to this person
Charged
424.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
63.60
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 | SOFIA HUGHES |
| Role on the policy | Subscriber |
| Policy | B02M000248 |
| Date of birth | 7 Apr 1995 |
| Plan | SILVER HMO |
| Covered from | 31 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 63.60 |
| Total | 63.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001073 | 7 Apr 2026 | 424.00 | CASCADE CARE | Not denied | — |