DAVID HUGHES
Subscriber on policy B04M000502
Claims
2
Attributed to this person
Charged
568.00
Total submitted
Denied
149.00
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 | DAVID HUGHES |
| Role on the policy | Subscriber |
| Policy | B04M000502 |
| Date of birth | 22 May 1950 |
| Plan | PLATINUM PPO |
| Covered from | 1 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 |
|---|---|---|---|---|---|
| CLM0002158 | 3 Jun 2025 | 149.00 | CASCADE CARE | CARC 109 · COB | 149.00 |
| CLM0002159 | 28 Aug 2024 | 419.00 | CASCADE CARE | Not denied | — |