RAVI HUGHES
Dependent on policy B03M000360
Claims
1
Attributed to this person
Charged
879.00
Total submitted
Denied
879.00
1 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 | RAVI HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000360 |
| Date of birth | 19 Jul 2006 |
| Plan | PLATINUM PPO |
| Covered from | 10 Sep 2024 |
| Covered to | 10 Jun 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001457 | 10 Apr 2025 | 879.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 879.00 |