MARCUS VARGAS
Dependent on policy B04M000100
Claims
3
Attributed to this person
Charged
1,312.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
52.80
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 | MARCUS VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000100 |
| Date of birth | 29 Sep 2012 |
| Plan | GOLD PPO |
| Covered from | 23 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 52.80 |
| Total | 52.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000460 | 14 Jun 2026 | 352.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000459 | 19 Mar 2026 | 666.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000458 | 12 Jan 2026 | 294.00 | MERIDIAN HEALTH PLAN | Not denied | — |