DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B03M000674›MARCUS VARGAS

MARCUS VARGAS

Subscriber on policy B03M000674

Claims
1
Attributed to this person
Charged
189.00
Total submitted
Denied
189.00
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 โ€” 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

FieldValue
NameMARCUS VARGAS
Role on the policySubscriber
PolicyB03M000674
Date of birth11 Jul 1994
PlanSILVER HMO
Covered from8 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00027966 Oct 2025189.00CASCADE CARECARC 27 ยท ELIGIBILITY189.00