PRIYA GARCIA
Subscriber on policy B09M000470
Claims
1
Attributed to this person
Charged
813.00
Total submitted
Denied
321.61
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 | PRIYA GARCIA |
| Role on the policy | Subscriber |
| Policy | B09M000470 |
| Date of birth | 21 Jul 1977 |
| Plan | PLATINUM PPO |
| Covered from | 6 Jan 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 |
|---|---|---|---|---|---|
| CLM0001991 | 21 Mar 2026 | 813.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 321.61 |