LEILA VARGAS
Subscriber on policy B10M000539
Claims
3
Attributed to this person
Charged
1,396.00
Total submitted
Denied
525.04
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 | LEILA VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000539 |
| Date of birth | 31 Oct 1980 |
| Plan | BRONZE EPO |
| Covered from | 6 Dec 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 |
|---|---|---|---|---|---|
| CLM0002225 | 20 Jan 2026 | 548.00 | CASCADE CARE | Not denied | — |
| CLM0002224 | 24 Nov 2025 | 458.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 135.04 |
| CLM0002223 | 23 Mar 2025 | 390.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 390.00 |