SOFIA GARCIA
Dependent on policy B10M000214
Claims
3
Attributed to this person
Charged
836.00
Total submitted
Denied
581.00
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 | SOFIA GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000214 |
| Date of birth | 29 Jun 1995 |
| Plan | GOLD PPO |
| Covered from | 6 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 |
|---|---|---|---|---|---|
| CLM0000869 | 23 Mar 2026 | 166.00 | CASCADE CARE | Not denied | — |
| CLM0000871 | 16 Jul 2024 | 89.00 | CASCADE CARE | Not denied | — |
| CLM0000870 | 2 Jul 2024 | 581.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 581.00 |