KEVIN VARGAS
Dependent on policy B02M000835
Claims
2
Attributed to this person
Charged
660.00
Total submitted
Denied
660.00
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 | KEVIN VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000835 |
| Date of birth | 18 Dec 1991 |
| Plan | GOLD PPO |
| Covered from | 11 Dec 2024 |
| Covered to | 21 Jul 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 |
|---|---|---|---|---|---|
| CLM0003469 | 12 Aug 2025 | 351.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 351.00 |
| CLM0003470 | 28 May 2025 | 309.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 309.00 |