MARCUS GARCIA
Dependent on policy B07M000189
Claims
2
Attributed to this person
Charged
712.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
346.45
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 | Dependent · relationship 01 |
| Policy | B07M000189 |
| Date of birth | 31 Jul 1983 |
| Plan | PLATINUM PPO |
| Covered from | 9 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 346.45 |
| Total | 346.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000789 | 1 Feb 2026 | 533.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0000790 | 2 Dec 2025 | 179.00 | CASCADE CARE | Not denied | — |