ELENA VARGAS
Subscriber on policy B03M000457
Claims
3
Attributed to this person
Charged
1,792.00
Total submitted
Denied
933.00
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 | ELENA VARGAS |
| Role on the policy | Subscriber |
| Policy | B03M000457 |
| Date of birth | 14 Dec 2000 |
| Plan | GOLD PPO |
| Covered from | 15 Oct 2024 |
| Covered to | 24 Feb 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 |
|---|---|---|---|---|---|
| CLM0001889 | 21 Apr 2025 | 245.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 245.00 |
| CLM0001888 | 2 Jan 2025 | 859.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001890 | 20 Sep 2024 | 688.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 688.00 |