MARCUS VARGAS
Subscriber on policy B01M000405
Claims
3
Attributed to this person
Charged
1,350.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
177.30
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 | MARCUS VARGAS |
| Role on the policy | Subscriber |
| Policy | B01M000405 |
| Date of birth | 12 Dec 2003 |
| Plan | PLATINUM PPO |
| Covered from | 26 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 2 | 177.30 |
| Total | 177.30 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001795 | 23 May 2026 | 727.00 | CASCADE CARE | Not denied | — |
| CLM0001797 | 31 Mar 2025 | 168.00 | CASCADE CARE | Not denied | — |
| CLM0001796 | 9 Nov 2024 | 455.00 | CASCADE CARE | Not denied | — |