NADIA VARGAS
Subscriber on policy B09M000641
Claims
1
Attributed to this person
Charged
657.00
Total submitted
Denied
657.00
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient โ 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 | NADIA VARGAS |
| Role on the policy | Subscriber |
| Policy | B09M000641 |
| Date of birth | 25 Sep 2001 |
| Plan | PLATINUM PPO |
| Covered from | 27 Feb 2025 |
| Covered to | 26 Jul 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 |
|---|---|---|---|---|---|
| CLM0002724 | 3 Sep 2025 | 657.00 | MERIDIAN HEALTH PLAN | CARC 27 ยท ELIGIBILITY | 657.00 |