SOFIA GARCIA
Subscriber on policy B07M000138
Claims
3
Attributed to this person
Charged
2,279.00
Total submitted
Denied
1,625.00
2 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 | SOFIA GARCIA |
| Role on the policy | Subscriber |
| Policy | B07M000138 |
| Date of birth | 6 Nov 1989 |
| Plan | SILVER HMO |
| Covered from | 29 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000574 | 15 Dec 2025 | 654.00 | CASCADE CARE | Not denied | — |
| CLM0000575 | 1 Sep 2025 | 750.00 | CASCADE CARE | CARC 109 · COB | 750.00 |
| CLM0000576 | 9 Jan 2025 | 875.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 875.00 |