JULIA GARCIA
Dependent on policy B01M000189
Claims
3
Attributed to this person
Charged
1,486.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
64.20
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 | JULIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000189 |
| Date of birth | 29 Nov 2005 |
| Plan | SILVER HMO |
| Covered from | 28 Aug 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 64.20 |
| Total | 64.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000805 | 28 Apr 2026 | 321.00 | CASCADE CARE | Not denied | — |
| CLM0000804 | 14 Aug 2025 | 747.00 | CASCADE CARE | Not denied | — |
| CLM0000806 | 15 Jun 2025 | 418.00 | CASCADE CARE | Not denied | — |