GRACE VARGAS
Subscriber on policy B05M000385
Claims
2
Attributed to this person
Charged
792.00
Total submitted
Denied
309.00
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 | GRACE VARGAS |
| Role on the policy | Subscriber |
| Policy | B05M000385 |
| Date of birth | 20 Apr 2002 |
| Plan | SILVER HMO |
| Covered from | 6 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001630 | 10 Aug 2026 | 483.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001629 | 17 Jul 2026 | 309.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 309.00 |