CARLA HUGHES
Subscriber on policy B03M000753
Claims
2
Attributed to this person
Charged
570.00
Total submitted
Denied
570.00
2 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 | CARLA HUGHES |
| Role on the policy | Subscriber |
| Policy | B03M000753 |
| Date of birth | 29 Apr 1978 |
| Plan | SILVER HMO |
| Covered from | 2 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 |
|---|---|---|---|---|---|
| CLM0003156 | 16 Jun 2025 | 131.00 | MERIDIAN HEALTH PLAN | CARC 109 · COB | 131.00 |
| CLM0003157 | 10 Apr 2024 | 439.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 439.00 |