DAVID VARGAS
Subscriber on policy B10M000512
Claims
2
Attributed to this person
Charged
1,285.00
Total submitted
Denied
898.69
2 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 | DAVID VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000512 |
| Date of birth | 18 Jun 1976 |
| Plan | PLATINUM PPO |
| Covered from | 27 May 2024 |
| Covered to | 14 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 |
|---|---|---|---|---|---|
| CLM0002107 | 28 Mar 2025 | 689.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 689.00 |
| CLM0002108 | 27 Nov 2024 | 596.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 209.69 |