PRIYA VARGAS
Subscriber on policy B06M000386
Claims
1
Attributed to this person
Charged
764.00
Total submitted
Denied
764.00
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 | PRIYA VARGAS |
| Role on the policy | Subscriber |
| Policy | B06M000386 |
| Date of birth | 3 Sep 2000 |
| Plan | GOLD PPO |
| Covered from | 4 Feb 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001757 | 27 May 2024 | 764.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 764.00 |