DAVID GARCIA
Dependent on policy B03M000593
Claims
2
Attributed to this person
Charged
750.00
Total submitted
Denied
596.00
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 | DAVID GARCIA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000593 |
| Date of birth | 25 Jun 2021 |
| 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 |
|---|---|---|---|---|---|
| CLM0002436 | 12 Aug 2025 | 596.00 | CASCADE CARE | CARC 109 · COB | 596.00 |
| CLM0002434 | 12 Mar 2025 | 154.00 | CASCADE CARE | Not denied | — |