VICTOR HUGHES
Subscriber on policy B05M000326
Claims
1
Attributed to this person
Charged
668.00
Total submitted
Denied
21.91
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 | VICTOR HUGHES |
| Role on the policy | Subscriber |
| Policy | B05M000326 |
| Date of birth | 9 May 1974 |
| Plan | BRONZE EPO |
| Covered from | 21 Apr 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 |
|---|---|---|---|---|---|
| CLM0001363 | 8 Aug 2025 | 668.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 21.91 |