VICTOR GARCIA
Dependent on policy B01M000898
Claims
2
Attributed to this person
Charged
1,505.00
Total submitted
Denied
704.00
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 | VICTOR GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000898 |
| Date of birth | 5 Oct 2002 |
| Plan | PLATINUM PPO |
| Covered from | 17 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0003979 | 2 May 2026 | 801.00 | CASCADE CARE | Not denied | — |
| CLM0003980 | 24 Oct 2025 | 704.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 704.00 |