FIONA HUGHES
Subscriber on policy B03M000835
Claims
3
Attributed to this person
Charged
1,719.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
178.60
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 | B03M000835 |
| Date of birth | 7 Feb 1983 |
| Plan | PLATINUM PPO |
| Covered from | 4 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 178.60 |
| Total | 178.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003598 | 21 Aug 2026 | 568.00 | CASCADE CARE | Not denied | — |
| CLM0003599 | 22 Apr 2025 | 258.00 | CASCADE CARE | Not denied | — |
| CLM0003597 | 6 Feb 2025 | 893.00 | CASCADE CARE | Not denied | — |