YUSUF VARGAS
Dependent on policy B06M000351
Claims
3
Attributed to this person
Charged
1,695.00
Total submitted
Denied
655.00
1 denied claims
Patient responsibility
50.00
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 | YUSUF VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000351 |
| Date of birth | 25 Nov 1969 |
| Plan | PLATINUM PPO |
| Covered from | 10 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 50.00 |
| Total | 50.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001592 | 18 Jul 2025 | 655.00 | CASCADE CARE | CARC 18 · DUPLICATE | 655.00 |
| CLM0001593 | 30 Mar 2025 | 284.00 | CASCADE CARE | Not denied | — |
| CLM0001591 | 27 Dec 2024 | 756.00 | CASCADE CARE | Not denied | — |