WENDY VARGAS
Subscriber on policy B03M000555
Claims
2
Attributed to this person
Charged
748.00
Total submitted
Denied
196.00
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 | WENDY VARGAS |
| Role on the policy | Subscriber |
| Policy | B03M000555 |
| Date of birth | 19 Dec 1966 |
| Plan | BRONZE EPO |
| Covered from | 5 Apr 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0002272 | 22 Apr 2025 | 196.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 196.00 |
| CLM0002271 | 14 Oct 2024 | 552.00 | MERIDIAN HEALTH PLAN | Not denied | — |