PRIYA VARGAS
Dependent on policy B01M000789
Claims
2
Attributed to this person
Charged
1,071.00
Total submitted
Denied
126.91
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 | PRIYA VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000789 |
| Date of birth | 4 May 1950 |
| Plan | GOLD PPO |
| Covered from | 7 Jan 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 |
|---|---|---|---|---|---|
| CLM0003502 | 2 Jun 2026 | 603.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 126.91 |
| CLM0003503 | 29 Nov 2024 | 468.00 | CASCADE CARE | Not denied | — |