UMA HUGHES
Dependent on policy B05M000643
Claims
3
Attributed to this person
Charged
470.00
Total submitted
Denied
220.98
2 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 | UMA HUGHES |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000643 |
| Date of birth | 15 Jan 1949 |
| Plan | BRONZE EPO |
| Covered from | 12 Mar 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 |
|---|---|---|---|---|---|
| CLM0002775 | 27 Jan 2026 | 64.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 31.98 |
| CLM0002773 | 27 Oct 2025 | 189.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 189.00 |
| CLM0002774 | 13 Jun 2025 | 217.00 | CASCADE CARE | Not denied | — |