IVAN HUGHES
Subscriber on policy B04M000383
Claims
2
Attributed to this person
Charged
1,266.00
Total submitted
Denied
582.00
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 | IVAN HUGHES |
| Role on the policy | Subscriber |
| Policy | B04M000383 |
| Date of birth | 9 Dec 1954 |
| Plan | SILVER HMO |
| Covered from | 4 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001635 | 19 Dec 2025 | 582.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 582.00 |
| CLM0001634 | 2 Nov 2025 | 684.00 | MERIDIAN HEALTH PLAN | Not denied | — |