FIONA HUGHES
Subscriber on policy B04M000701
Claims
2
Attributed to this person
Charged
896.00
Total submitted
Denied
705.00
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 | B04M000701 |
| Date of birth | 22 Jun 1990 |
| Plan | GOLD PPO |
| Covered from | 30 Nov 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003048 | 20 Jan 2026 | 191.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003049 | 3 Nov 2024 | 705.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 705.00 |