NADIA VARGAS
Subscriber on policy B07M000266
Claims
2
Attributed to this person
Charged
184.00
Total submitted
Denied
107.00
1 denied claims
Patient responsibility
11.55
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 | NADIA VARGAS |
| Role on the policy | Subscriber |
| Policy | B07M000266 |
| Date of birth | 29 Sep 1984 |
| Plan | GOLD PPO |
| Covered from | 18 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 11.55 |
| Total | 11.55 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001146 | 9 Jul 2025 | 77.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001145 | 16 Jan 2025 | 107.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 107.00 |