IVAN GARCIA
Subscriber on policy B07M000120
Claims
1
Attributed to this person
Charged
787.00
Total submitted
Denied
787.00
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 | IVAN GARCIA |
| Role on the policy | Subscriber |
| Policy | B07M000120 |
| Date of birth | 15 Apr 1980 |
| Plan | PLATINUM PPO |
| Covered from | 9 May 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 |
|---|---|---|---|---|---|
| CLM0000500 | 2 Feb 2026 | 787.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 787.00 |