RAVI VARGAS
Subscriber on policy B08M000224
Claims
2
Attributed to this person
Charged
524.00
Total submitted
Denied
414.00
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 | RAVI VARGAS |
| Role on the policy | Subscriber |
| Policy | B08M000224 |
| Date of birth | 22 Feb 1970 |
| Plan | PLATINUM PPO |
| Covered from | 26 Apr 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 |
|---|---|---|---|---|---|
| CLM0001004 | 12 Dec 2024 | 110.00 | CASCADE CARE | Not denied | — |
| CLM0001003 | 30 Mar 2024 | 414.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 414.00 |