SOFIA VARGAS
Dependent on policy B01M000058
Claims
2
Attributed to this person
Charged
383.00
Total submitted
Denied
72.00
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 | SOFIA VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000058 |
| Date of birth | 11 Aug 1984 |
| 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 |
|---|---|---|---|---|---|
| CLM0000249 | 26 Oct 2025 | 72.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 72.00 |
| CLM0000248 | 11 Aug 2025 | 311.00 | CASCADE CARE | Not denied | — |