NADIA GARCIA
Subscriber on policy B02M000397
Claims
3
Attributed to this person
Charged
1,432.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
87.90
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 | B02M000397 |
| Date of birth | 21 Apr 1987 |
| Plan | BRONZE EPO |
| Covered from | 31 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 87.90 |
| Total | 87.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001702 | 29 Sep 2025 | 449.00 | CASCADE CARE | Not denied | — |
| CLM0001701 | 21 Feb 2025 | 586.00 | CASCADE CARE | Not denied | — |
| CLM0001700 | 3 Jan 2025 | 397.00 | CASCADE CARE | Not denied | — |