KEVIN VARGAS
Subscriber on policy B09M000798
Claims
3
Attributed to this person
Charged
1,543.00
Total submitted
Denied
423.00
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 — 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 | KEVIN VARGAS |
| Role on the policy | Subscriber |
| Policy | B09M000798 |
| Date of birth | 8 Oct 1986 |
| Plan | BRONZE EPO |
| Covered from | 31 Mar 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003383 | 1 Sep 2024 | 252.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003385 | 26 Jul 2024 | 423.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 423.00 |
| CLM0003384 | 22 Apr 2024 | 868.00 | MERIDIAN HEALTH PLAN | Not denied | — |