UMA HUGHES
Dependent on policy B03M000251
Claims
3
Attributed to this person
Charged
1,392.00
Total submitted
Denied
580.00
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 | UMA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000251 |
| Date of birth | 10 Apr 1968 |
| Plan | BRONZE EPO |
| Covered from | 28 Apr 2025 |
| Covered to | 5 Feb 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001014 | 20 Feb 2026 | 465.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 465.00 |
| CLM0001012 | 12 Jan 2026 | 812.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001013 | 10 Jan 2026 | 115.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 115.00 |