OMAR VARGAS
Dependent on policy B01M000414
Claims
3
Attributed to this person
Charged
1,577.00
Total submitted
Denied
1,577.00
3 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 | OMAR VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000414 |
| Date of birth | 3 Jun 1976 |
| Plan | BRONZE EPO |
| Covered from | 17 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001832 | 31 Dec 2025 | 125.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 125.00 |
| CLM0001833 | 2 Jun 2025 | 751.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 751.00 |
| CLM0001831 | 15 Feb 2025 | 701.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 701.00 |