BRIAN HUGHES
Dependent on policy B03M000367
Claims
1
Attributed to this person
Charged
241.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
30.00
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 | BRIAN HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000367 |
| Date of birth | 29 Jun 1952 |
| Plan | GOLD PPO |
| Covered from | 24 Feb 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 30.00 |
| Total | 30.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001496 | 31 Jul 2026 | 241.00 | MERIDIAN HEALTH PLAN | Not denied | — |