GRACE VARGAS
Subscriber on policy B02M000105
Claims
3
Attributed to this person
Charged
1,184.00
Total submitted
Denied
382.00
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 | GRACE VARGAS |
| Role on the policy | Subscriber |
| Policy | B02M000105 |
| Date of birth | 5 Aug 1978 |
| Plan | BRONZE EPO |
| Covered from | 9 May 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 |
|---|---|---|---|---|---|
| CLM0000472 | 5 Aug 2026 | 188.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000471 | 22 Jun 2026 | 614.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000473 | 6 Apr 2026 | 382.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 382.00 |