DAVID HUGHES
Dependent on policy B05M000361
Claims
2
Attributed to this person
Charged
577.00
Total submitted
Denied
127.00
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 | Dependent · relationship 01 |
| Policy | B05M000361 |
| Date of birth | 25 Jul 1993 |
| Plan | PLATINUM PPO |
| Covered from | 17 Jun 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 |
|---|---|---|---|---|---|
| CLM0001544 | 10 Mar 2026 | 127.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 127.00 |
| CLM0001542 | 3 Jul 2025 | 450.00 | MERIDIAN HEALTH PLAN | Not denied | — |