JULIA VARGAS
Subscriber on policy B07M000037
Claims
3
Attributed to this person
Charged
1,049.00
Total submitted
Denied
158.00
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 | JULIA VARGAS |
| Role on the policy | Subscriber |
| Policy | B07M000037 |
| Date of birth | 28 Jan 1969 |
| Plan | PLATINUM PPO |
| Covered from | 27 Jun 2024 |
| Covered to | 1 Nov 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000177 | 17 Dec 2024 | 158.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 158.00 |
| CLM0000178 | 27 Sep 2024 | 513.00 | CASCADE CARE | Not denied | — |
| CLM0000176 | 11 Sep 2024 | 378.00 | CASCADE CARE | Not denied | — |