FIONA HUGHES
Subscriber on policy B03M000421
Claims
3
Attributed to this person
Charged
1,108.00
Total submitted
Denied
559.00
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 | FIONA HUGHES |
| Role on the policy | Subscriber |
| Policy | B03M000421 |
| Date of birth | 2 Apr 1990 |
| Plan | GOLD PPO |
| Covered from | 7 Apr 2024 |
| Covered to | 28 Jul 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001713 | 15 Sep 2024 | 559.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 559.00 |
| CLM0001712 | 20 Jun 2024 | 240.00 | CASCADE CARE | Not denied | — |
| CLM0001711 | 18 Jun 2024 | 309.00 | CASCADE CARE | Not denied | — |