FIONA VARGAS
Subscriber on policy B04M000204
Claims
1
Attributed to this person
Charged
100.00
Total submitted
Denied
100.00
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 | FIONA VARGAS |
| Role on the policy | Subscriber |
| Policy | B04M000204 |
| Date of birth | 9 Nov 1999 |
| Plan | PLATINUM PPO |
| Covered from | 29 Sep 2024 |
| Covered to | 5 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000904 | 7 Sep 2024 | 100.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 100.00 |