YUSUF VARGAS
Subscriber on policy B10M000078
Claims
1
Attributed to this person
Charged
537.00
Total submitted
Denied
0.00
0 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 | YUSUF VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000078 |
| Date of birth | 24 Oct 1981 |
| Plan | PLATINUM PPO |
| Covered from | 18 Aug 2024 |
| Covered to | 4 Mar 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 |
|---|---|---|---|---|---|
| CLM0000323 | 18 Oct 2024 | 537.00 | CASCADE CARE | Not denied | — |