KEVIN VARGAS
Subscriber on policy B06M000310
Claims
3
Attributed to this person
Charged
1,194.00
Total submitted
Denied
329.00
1 denied claims
Patient responsibility
73.65
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 | KEVIN VARGAS |
| Role on the policy | Subscriber |
| Policy | B06M000310 |
| Date of birth | 6 Mar 1965 |
| Plan | BRONZE EPO |
| Covered from | 15 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 73.65 |
| Total | 73.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001418 | 24 Feb 2026 | 329.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 329.00 |
| CLM0001420 | 24 Oct 2025 | 374.00 | CASCADE CARE | Not denied | — |
| CLM0001419 | 14 Jun 2024 | 491.00 | CASCADE CARE | Not denied | — |