VICTOR GARCIA
Dependent on policy B03M000593
Claims
2
Attributed to this person
Charged
634.00
Total submitted
Denied
303.00
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 | VICTOR GARCIA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000593 |
| Date of birth | 1 Nov 1997 |
| Plan | PLATINUM PPO |
| Covered from | 22 Nov 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 |
|---|---|---|---|---|---|
| CLM0002432 | 17 May 2025 | 303.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 303.00 |
| CLM0002433 | 9 May 2025 | 331.00 | CASCADE CARE | Not denied | — |