FIONA HUGHES
Dependent on policy B01M000125
Claims
3
Attributed to this person
Charged
1,217.00
Total submitted
Denied
508.00
1 denied claims
Patient responsibility
60.00
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 | FIONA HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000125 |
| Date of birth | 8 Sep 2017 |
| Plan | PLATINUM PPO |
| Covered from | 15 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 2 | 60.00 |
| Total | 60.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000495 | 30 Jun 2026 | 75.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000494 | 19 Feb 2025 | 634.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000493 | 19 Aug 2024 | 508.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 508.00 |