NADIA GARCIA
Subscriber on policy B02M000311
Claims
2
Attributed to this person
Charged
701.00
Total submitted
Denied
97.88
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 | NADIA GARCIA |
| Role on the policy | Subscriber |
| Policy | B02M000311 |
| Date of birth | 21 Feb 1955 |
| Plan | BRONZE EPO |
| Covered from | 4 Feb 2024 |
| Covered to | 24 Jun 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001333 | 4 Apr 2024 | 237.00 | CASCADE CARE | Not denied | — |
| CLM0001332 | 10 Feb 2024 | 464.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 97.88 |