PRIYA HUGHES
Subscriber on policy B04M000396
Claims
1
Attributed to this person
Charged
673.00
Total submitted
Denied
673.00
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 | PRIYA HUGHES |
| Role on the policy | Subscriber |
| Policy | B04M000396 |
| Date of birth | 9 Aug 1959 |
| Plan | PLATINUM PPO |
| Covered from | 7 Apr 2024 |
| Covered to | 7 Jan 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 |
|---|---|---|---|---|---|
| CLM0001703 | 8 Mar 2025 | 673.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 673.00 |