RAVI VARGAS
Subscriber on policy B05M000154
Claims
2
Attributed to this person
Charged
943.00
Total submitted
Denied
242.00
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 | RAVI VARGAS |
| Role on the policy | Subscriber |
| Policy | B05M000154 |
| Date of birth | 5 Mar 1970 |
| Plan | PLATINUM PPO |
| Covered from | 12 Nov 2024 |
| Covered to | 10 Apr 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 |
|---|---|---|---|---|---|
| CLM0000645 | 26 Feb 2025 | 701.00 | CASCADE CARE | Not denied | — |
| CLM0000644 | 21 Dec 2024 | 242.00 | CASCADE CARE | CARC 96 · NON_COVERED | 242.00 |