IVAN HUGHES
Subscriber on policy B06M000350
Claims
1
Attributed to this person
Charged
289.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
43.35
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 | B06M000350 |
| Date of birth | 3 Oct 1960 |
| Plan | PLATINUM PPO |
| Covered from | 20 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 43.35 |
| Total | 43.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001589 | 8 Jul 2026 | 289.00 | MERIDIAN HEALTH PLAN | Not denied | — |