MARCUS VARGAS
Dependent on policy B04M000180
Claims
2
Attributed to this person
Charged
1,044.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
466.70
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 | B04M000180 |
| Date of birth | 25 Apr 2012 |
| Plan | PLATINUM PPO |
| Covered from | 22 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 96 · Other | 1 | 466.70 |
| Total | 466.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000818 | 30 Jul 2026 | 718.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 0.00 |
| CLM0000817 | 2 Jun 2026 | 326.00 | MERIDIAN HEALTH PLAN | Not denied | — |