PRIYA GARCIA
Dependent on policy B01M000216
Claims
2
Attributed to this person
Charged
1,537.00
Total submitted
Denied
883.00
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 | PRIYA GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000216 |
| Date of birth | 2 Jan 2008 |
| Plan | PLATINUM PPO |
| Covered from | 28 Mar 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 |
|---|---|---|---|---|---|
| CLM0000922 | 6 Dec 2024 | 654.00 | CASCADE CARE | Not denied | — |
| CLM0000923 | 25 Mar 2024 | 883.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 883.00 |