UMA VARGAS
Dependent on policy B01M000668
Claims
3
Attributed to this person
Charged
1,442.00
Total submitted
Denied
1,348.45
3 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 VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000668 |
| Date of birth | 10 Aug 1948 |
| Plan | PLATINUM PPO |
| Covered from | 24 Apr 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 |
|---|---|---|---|---|---|
| CLM0003000 | 29 Dec 2025 | 801.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 801.00 |
| CLM0002999 | 20 Sep 2025 | 159.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 65.45 |
| CLM0002998 | 27 Mar 2025 | 482.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 482.00 |