TOMAS HUGHES
Subscriber on policy B02M000524
Claims
2
Attributed to this person
Charged
412.00
Total submitted
Denied
123.00
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 | TOMAS HUGHES |
| Role on the policy | Subscriber |
| Policy | B02M000524 |
| Date of birth | 10 Jun 2000 |
| Plan | SILVER HMO |
| Covered from | 15 Sep 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 |
|---|---|---|---|---|---|
| CLM0002216 | 15 Feb 2026 | 123.00 | CASCADE CARE | CARC 96 · NON_COVERED | 123.00 |
| CLM0002217 | 20 Nov 2025 | 289.00 | CASCADE CARE | Not denied | — |