UMA GARCIA
Dependent on policy B09M000261
Claims
2
Attributed to this person
Charged
791.00
Total submitted
Denied
291.00
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 | UMA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000261 |
| Date of birth | 11 Jan 1946 |
| Plan | BRONZE EPO |
| Covered from | 17 Dec 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 |
|---|---|---|---|---|---|
| CLM0001072 | 18 May 2025 | 291.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 291.00 |
| CLM0001071 | 18 Dec 2024 | 500.00 | CASCADE CARE | Not denied | — |