VICTOR VARGAS
Subscriber on policy B09M000606
Claims
3
Attributed to this person
Charged
1,255.00
Total submitted
Denied
230.00
1 denied claims
Patient responsibility
48.20
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 | VICTOR VARGAS |
| Role on the policy | Subscriber |
| Policy | B09M000606 |
| Date of birth | 27 Feb 1956 |
| Plan | PLATINUM PPO |
| Covered from | 22 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 48.20 |
| Total | 48.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002556 | 7 Mar 2026 | 230.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 230.00 |
| CLM0002557 | 5 Mar 2026 | 241.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002555 | 7 Sep 2025 | 784.00 | MERIDIAN HEALTH PLAN | Not denied | — |