LEILA HUGHES
Dependent on policy B04M000137
Claims
3
Attributed to this person
Charged
988.00
Total submitted
Denied
215.00
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 | LEILA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B04M000137 |
| Date of birth | 24 May 1957 |
| Plan | SILVER HMO |
| Covered from | 17 May 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 |
|---|---|---|---|---|---|
| CLM0000635 | 15 Jul 2024 | 159.00 | CASCADE CARE | Not denied | — |
| CLM0000633 | 13 Jul 2024 | 215.00 | CASCADE CARE | CARC 11 · CODING | 215.00 |
| CLM0000634 | 8 May 2024 | 614.00 | CASCADE CARE | Not denied | — |