AMARA HUGHES
Dependent on policy B03M000235
Claims
3
Attributed to this person
Charged
1,428.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
102.15
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 | AMARA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000235 |
| Date of birth | 7 May 2012 |
| Plan | PLATINUM PPO |
| Covered from | 9 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 102.15 |
| Total | 102.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000951 | 16 Dec 2025 | 530.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000952 | 25 Jul 2025 | 681.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000953 | 9 Jul 2025 | 217.00 | NORTHSTAR MUTUAL | Not denied | — |