PRIYA GARCIA
Dependent on policy B01M000189
Claims
3
Attributed to this person
Charged
1,539.00
Total submitted
Denied
1,027.00
2 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 | PRIYA GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000189 |
| Date of birth | 15 Apr 2020 |
| Plan | SILVER HMO |
| Covered from | 28 Aug 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000808 | 9 Apr 2026 | 531.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 531.00 |
| CLM0000809 | 7 May 2025 | 512.00 | CASCADE CARE | Not denied | — |
| CLM0000807 | 23 Nov 2024 | 496.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 496.00 |