DAVID VARGAS
Dependent on policy B01M000723
Claims
3
Attributed to this person
Charged
1,413.00
Total submitted
Denied
1,147.00
2 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 19 |
| Policy | B01M000723 |
| Date of birth | 21 Jan 2013 |
| Plan | PLATINUM PPO |
| Covered from | 22 Mar 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 |
|---|---|---|---|---|---|
| CLM0003216 | 15 Dec 2025 | 319.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 319.00 |
| CLM0003215 | 4 Sep 2025 | 266.00 | CASCADE CARE | Not denied | — |
| CLM0003217 | 13 Mar 2025 | 828.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 828.00 |