DAVID VARGAS
Dependent on policy B09M000475
Claims
3
Attributed to this person
Charged
931.00
Total submitted
Denied
198.00
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 | DAVID VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000475 |
| Date of birth | 16 Sep 1966 |
| Plan | PLATINUM PPO |
| Covered from | 28 May 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 |
|---|---|---|---|---|---|
| CLM0002009 | 30 Jun 2026 | 583.00 | CASCADE CARE | Not denied | — |
| CLM0002010 | 21 Jan 2025 | 198.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 198.00 |
| CLM0002011 | 28 Sep 2024 | 150.00 | CASCADE CARE | Not denied | — |