DAVID VARGAS
Subscriber on policy B08M000497
Claims
1
Attributed to this person
Charged
397.00
Total submitted
Denied
0.00
0 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 | B08M000497 |
| Date of birth | 14 Dec 2001 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jan 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 |
|---|---|---|---|---|---|
| CLM0002296 | 3 Jun 2025 | 397.00 | CASCADE CARE | Not denied | — |