NADIA HUGHES
Dependent on policy B03M000419
Claims
3
Attributed to this person
Charged
1,482.00
Total submitted
Denied
948.82
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 | NADIA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000419 |
| Date of birth | 19 Dec 1988 |
| Plan | GOLD PPO |
| Covered from | 2 Apr 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 |
|---|---|---|---|---|---|
| CLM0001704 | 5 Jan 2025 | 714.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 714.00 |
| CLM0001706 | 24 Jun 2024 | 702.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 234.82 |
| CLM0001705 | 10 Apr 2024 | 66.00 | NORTHSTAR MUTUAL | Not denied | — |