DAVID VARGAS
Subscriber on policy B01M000222
Claims
3
Attributed to this person
Charged
1,635.00
Total submitted
Denied
109.00
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 | DAVID VARGAS |
| Role on the policy | Subscriber |
| Policy | B01M000222 |
| Date of birth | 3 Dec 2002 |
| Plan | PLATINUM PPO |
| Covered from | 31 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000944 | 10 Aug 2026 | 834.00 | CASCADE CARE | Not denied | — |
| CLM0000946 | 27 Aug 2025 | 692.00 | CASCADE CARE | Not denied | — |
| CLM0000945 | 29 May 2025 | 109.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 109.00 |