NADIA VARGAS
Dependent on policy B10M000512
Claims
2
Attributed to this person
Charged
1,206.00
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 | NADIA VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000512 |
| Date of birth | 23 Jun 2006 |
| 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 |
|---|---|---|---|---|---|
| CLM0002110 | 13 Sep 2024 | 450.00 | CASCADE CARE | Not denied | — |
| CLM0002111 | 17 Aug 2024 | 756.00 | CASCADE CARE | Not denied | — |