NADIA VARGAS
Dependent on policy B08M000324
Claims
3
Attributed to this person
Charged
1,723.00
Total submitted
Denied
867.00
1 denied claims
Patient responsibility
106.65
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 | NADIA VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000324 |
| Date of birth | 14 Mar 2022 |
| Plan | PLATINUM PPO |
| Covered from | 7 Mar 2024 |
| Covered to | 7 Jul 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 106.65 |
| Total | 106.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001496 | 2 Sep 2024 | 711.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001495 | 28 Aug 2024 | 867.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 867.00 |
| CLM0001494 | 15 Jun 2024 | 145.00 | MERIDIAN HEALTH PLAN | Not denied | — |