UMA VARGAS
Subscriber on policy B04M000628
Claims
3
Attributed to this person
Charged
708.00
Total submitted
Denied
101.00
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 VARGAS |
| Role on the policy | Subscriber |
| Policy | B04M000628 |
| Date of birth | 14 Oct 1962 |
| Plan | PLATINUM PPO |
| Covered from | 24 Sep 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 |
|---|---|---|---|---|---|
| CLM0002728 | 14 Nov 2025 | 205.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002729 | 7 Jun 2025 | 101.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 101.00 |
| CLM0002730 | 30 Apr 2025 | 402.00 | MERIDIAN HEALTH PLAN | Not denied | — |