WENDY VARGAS
Subscriber on policy B01M000058
Claims
2
Attributed to this person
Charged
622.00
Total submitted
Denied
16.55
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 | WENDY VARGAS |
| Role on the policy | Subscriber |
| Policy | B01M000058 |
| Date of birth | 11 Jan 1956 |
| Plan | BRONZE EPO |
| Covered from | 18 Jun 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 |
|---|---|---|---|---|---|
| CLM0000245 | 9 Dec 2025 | 202.00 | CASCADE CARE | CARC 96 · NON_COVERED | 16.55 |
| CLM0000246 | 24 Oct 2025 | 420.00 | CASCADE CARE | Not denied | — |