MARCUS VARGAS
Subscriber on policy B01M000193
Claims
3
Attributed to this person
Charged
907.00
Total submitted
Denied
652.00
1 denied claims
Patient responsibility
16.80
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 | MARCUS VARGAS |
| Role on the policy | Subscriber |
| Policy | B01M000193 |
| Date of birth | 21 May 1963 |
| Plan | GOLD PPO |
| Covered from | 6 May 2025 |
| Covered to | 30 Oct 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 16.80 |
| Total | 16.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000826 | 6 Oct 2025 | 171.00 | CASCADE CARE | Not denied | — |
| CLM0000825 | 2 Jul 2025 | 84.00 | CASCADE CARE | Not denied | — |
| CLM0000824 | 12 Apr 2025 | 652.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 652.00 |