SOFIA GARCIA
Subscriber on policy B06M000188
Claims
3
Attributed to this person
Charged
1,426.00
Total submitted
Denied
64.00
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 | SOFIA GARCIA |
| Role on the policy | Subscriber |
| Policy | B06M000188 |
| Date of birth | 16 Jan 1964 |
| Plan | GOLD PPO |
| Covered from | 2 Apr 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 |
|---|---|---|---|---|---|
| CLM0000914 | 28 Nov 2025 | 701.00 | CASCADE CARE | Not denied | — |
| CLM0000916 | 24 Jun 2025 | 661.00 | CASCADE CARE | Not denied | — |
| CLM0000915 | 27 Mar 2025 | 64.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 64.00 |