LEILA VARGAS
Subscriber on policy B07M000703
Claims
2
Attributed to this person
Charged
639.00
Total submitted
Denied
392.00
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 | LEILA VARGAS |
| Role on the policy | Subscriber |
| Policy | B07M000703 |
| Date of birth | 27 Jan 1950 |
| Plan | GOLD PPO |
| Covered from | 16 Sep 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 |
|---|---|---|---|---|---|
| CLM0002908 | 10 Jul 2026 | 247.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002907 | 13 Mar 2026 | 392.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 392.00 |