UMA GARCIA
Subscriber on policy B03M000703
Claims
1
Attributed to this person
Charged
506.00
Total submitted
Denied
506.00
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 | UMA GARCIA |
| Role on the policy | Subscriber |
| Policy | B03M000703 |
| Date of birth | 22 Feb 1955 |
| Plan | PLATINUM PPO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0002923 | 12 Jan 2026 | 506.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 506.00 |