BRIAN HUGHES
Subscriber on policy B01M000148
Claims
2
Attributed to this person
Charged
904.00
Total submitted
Denied
904.00
2 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 | BRIAN HUGHES |
| Role on the policy | Subscriber |
| Policy | B01M000148 |
| Date of birth | 25 May 1963 |
| Plan | PLATINUM PPO |
| 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 |
|---|---|---|---|---|---|
| CLM0000619 | 6 Jun 2026 | 107.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 107.00 |
| CLM0000620 | 15 Nov 2025 | 797.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 797.00 |