AMARA HUGHES
Dependent on policy B04M000785
Claims
2
Attributed to this person
Charged
546.00
Total submitted
Denied
13.14
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 | AMARA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000785 |
| Date of birth | 17 Nov 1996 |
| Plan | SILVER HMO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0003426 | 8 May 2026 | 324.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 13.14 |
| CLM0003427 | 2 Feb 2026 | 222.00 | NORTHSTAR MUTUAL | Not denied | — |