ZARA GARCIA
Subscriber on policy B09M000078
Claims
3
Attributed to this person
Charged
1,756.00
Total submitted
Denied
164.00
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 | ZARA GARCIA |
| Role on the policy | Subscriber |
| Policy | B09M000078 |
| Date of birth | 28 Sep 2002 |
| Plan | GOLD PPO |
| Covered from | 8 Jan 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 |
|---|---|---|---|---|---|
| CLM0000339 | 3 Nov 2025 | 727.00 | CASCADE CARE | Not denied | — |
| CLM0000340 | 28 Aug 2025 | 164.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 164.00 |
| CLM0000338 | 26 Jun 2025 | 865.00 | CASCADE CARE | Not denied | — |