DAVID GARCIA
Dependent on policy B01M000050
Claims
3
Attributed to this person
Charged
987.00
Total submitted
Denied
0.00
0 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 | DAVID GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000050 |
| Date of birth | 26 Dec 2003 |
| Plan | GOLD PPO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0000201 | 5 Feb 2026 | 656.00 | CASCADE CARE | Not denied | — |
| CLM0000199 | 18 Nov 2025 | 268.00 | CASCADE CARE | Not denied | — |
| CLM0000200 | 25 Jun 2025 | 63.00 | CASCADE CARE | Not denied | — |