LEILA HUGHES
Dependent on policy B01M000125
Claims
2
Attributed to this person
Charged
322.00
Total submitted
Denied
259.00
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 | LEILA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000125 |
| Date of birth | 10 Dec 2016 |
| Plan | PLATINUM PPO |
| Covered from | 15 Jan 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 |
|---|---|---|---|---|---|
| CLM0000492 | 30 Jan 2025 | 259.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 259.00 |
| CLM0000491 | 11 Jul 2024 | 63.00 | MERIDIAN HEALTH PLAN | Not denied | — |