IVAN VARGAS
Subscriber on policy B09M000168
Claims
3
Attributed to this person
Charged
1,440.00
Total submitted
Denied
466.78
2 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 | IVAN VARGAS |
| Role on the policy | Subscriber |
| Policy | B09M000168 |
| Date of birth | 6 Jan 1961 |
| Plan | PLATINUM PPO |
| Covered from | 6 Feb 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 |
|---|---|---|---|---|---|
| CLM0000702 | 20 May 2026 | 407.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 407.00 |
| CLM0000700 | 5 Sep 2025 | 145.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 59.78 |
| CLM0000701 | 16 Feb 2025 | 888.00 | CASCADE CARE | Not denied | — |