ZARA VARGAS
Dependent on policy B06M000703
Claims
3
Attributed to this person
Charged
1,005.00
Total submitted
Denied
577.00
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 | ZARA VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000703 |
| Date of birth | 6 Sep 1997 |
| Plan | GOLD PPO |
| Covered from | 14 Apr 2025 |
| Covered to | 11 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003128 | 12 Aug 2025 | 312.00 | CASCADE CARE | Not denied | — |
| CLM0003129 | 5 Aug 2025 | 577.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 577.00 |
| CLM0003130 | 20 Mar 2025 | 116.00 | CASCADE CARE | Not denied | — |