DAVID VARGAS
Subscriber on policy B08M000324
Claims
3
Attributed to this person
Charged
608.00
Total submitted
Denied
219.00
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 | DAVID VARGAS |
| Role on the policy | Subscriber |
| Policy | B08M000324 |
| Date of birth | 30 Jun 1995 |
| Plan | PLATINUM PPO |
| Covered from | 7 Mar 2024 |
| Covered to | 7 Jul 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001486 | 21 Aug 2024 | 148.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001485 | 2 Apr 2024 | 241.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001487 | 19 Feb 2024 | 219.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 219.00 |