BRIAN VARGAS
Subscriber on policy B01M000622
Claims
1
Attributed to this person
Charged
815.00
Total submitted
Denied
355.42
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 | BRIAN VARGAS |
| Role on the policy | Subscriber |
| Policy | B01M000622 |
| Date of birth | 18 Aug 1959 |
| Plan | GOLD PPO |
| Covered from | 16 Jan 2025 |
| Covered to | 10 Nov 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002777 | 29 Oct 2025 | 815.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 355.42 |