MARCUS VARGAS
Subscriber on policy B04M000476
Claims
1
Attributed to this person
Charged
369.00
Total submitted
Denied
369.00
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 | MARCUS VARGAS |
| Role on the policy | Subscriber |
| Policy | B04M000476 |
| Date of birth | 29 Sep 1993 |
| Plan | GOLD PPO |
| Covered from | 11 Jan 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 |
|---|---|---|---|---|---|
| CLM0002034 | 25 Dec 2024 | 369.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 369.00 |