SOFIA VARGAS
Subscriber on policy B10M000322
Claims
2
Attributed to this person
Charged
984.00
Total submitted
Denied
518.00
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 VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000322 |
| Date of birth | 30 Dec 1964 |
| Plan | BRONZE EPO |
| Covered from | 10 Apr 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 |
|---|---|---|---|---|---|
| CLM0001354 | 12 Jun 2025 | 466.00 | CASCADE CARE | Not denied | — |
| CLM0001353 | 27 Feb 2025 | 518.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 518.00 |