IVAN HUGHES
Subscriber on policy B06M000149
Claims
2
Attributed to this person
Charged
1,043.00
Total submitted
Denied
847.00
1 denied claims
Patient responsibility
29.40
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 | IVAN HUGHES |
| Role on the policy | Subscriber |
| Policy | B06M000149 |
| Date of birth | 21 Sep 1966 |
| Plan | PLATINUM PPO |
| Covered from | 13 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 29.40 |
| Total | 29.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000729 | 31 Mar 2026 | 847.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 847.00 |
| CLM0000730 | 28 Aug 2024 | 196.00 | MERIDIAN HEALTH PLAN | Not denied | — |