BRIAN HUGHES
Subscriber on policy B01M000156
Claims
3
Attributed to this person
Charged
1,890.00
Total submitted
Denied
536.00
1 denied claims
Patient responsibility
88.80
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 | B01M000156 |
| Date of birth | 2 Nov 1967 |
| Plan | SILVER HMO |
| Covered from | 21 Jun 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 88.80 |
| Total | 88.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000660 | 20 Nov 2025 | 592.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000658 | 26 Apr 2025 | 536.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 536.00 |
| CLM0000659 | 14 Apr 2025 | 762.00 | NORTHSTAR MUTUAL | Not denied | — |