HENRY HUGHES
Subscriber on policy B05M000589
Claims
3
Attributed to this person
Charged
1,467.00
Total submitted
Denied
551.00
1 denied claims
Patient responsibility
50.00
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 | HENRY HUGHES |
| Role on the policy | Subscriber |
| Policy | B05M000589 |
| Date of birth | 28 Jan 1971 |
| Plan | PLATINUM PPO |
| Covered from | 26 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002508 | 28 Mar 2026 | 100.00 | CASCADE CARE | Not denied | — |
| CLM0002510 | 28 Nov 2025 | 816.00 | CASCADE CARE | Not denied | — |
| CLM0002509 | 12 Oct 2025 | 551.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 551.00 |