GRACE VARGAS
Subscriber on policy B10M000019
Claims
3
Attributed to this person
Charged
1,315.00
Total submitted
Denied
130.00
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 | GRACE VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000019 |
| Date of birth | 24 Dec 2003 |
| Plan | BRONZE EPO |
| Covered from | 30 Jul 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 |
|---|---|---|---|---|---|
| CLM0000076 | 22 Dec 2025 | 130.00 | CASCADE CARE | CARC 11 · CODING | 130.00 |
| CLM0000078 | 7 Oct 2025 | 849.00 | CASCADE CARE | Not denied | — |
| CLM0000077 | 8 Jan 2025 | 336.00 | CASCADE CARE | Not denied | — |