VICTOR HUGHES
Dependent on policy B05M000663
Claims
2
Attributed to this person
Charged
1,386.00
Total submitted
Denied
510.00
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 | VICTOR HUGHES |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000663 |
| Date of birth | 31 Mar 2018 |
| Plan | BRONZE EPO |
| Covered from | 6 May 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 |
|---|---|---|---|---|---|
| CLM0002867 | 13 Mar 2025 | 510.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 510.00 |
| CLM0002866 | 26 Sep 2024 | 876.00 | CASCADE CARE | Not denied | — |