MARCUS GARCIA
Subscriber on policy B07M000055
Claims
3
Attributed to this person
Charged
1,796.00
Total submitted
Denied
400.00
1 denied claims
Patient responsibility
103.95
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 | MARCUS GARCIA |
| Role on the policy | Subscriber |
| Policy | B07M000055 |
| Date of birth | 9 Jan 1972 |
| Plan | BRONZE EPO |
| Covered from | 22 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 103.95 |
| Total | 103.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000251 | 14 Mar 2026 | 703.00 | CASCADE CARE | Not denied | — |
| CLM0000250 | 30 Dec 2025 | 693.00 | CASCADE CARE | Not denied | — |
| CLM0000252 | 3 Nov 2024 | 400.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 400.00 |