PRIYA GARCIA
Subscriber on policy B08M000730
Claims
3
Attributed to this person
Charged
938.00
Total submitted
Denied
507.00
2 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 | Subscriber |
| Policy | B08M000730 |
| Date of birth | 13 Dec 1999 |
| Plan | BRONZE EPO |
| Covered from | 29 Dec 2024 |
| Covered to | 3 Oct 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003270 | 4 Jul 2025 | 411.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 411.00 |
| CLM0003268 | 6 May 2025 | 96.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 96.00 |
| CLM0003269 | 11 Dec 2024 | 431.00 | CASCADE CARE | Not denied | — |