NADIA VARGAS
Subscriber on policy B05M000836
Claims
3
Attributed to this person
Charged
1,378.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
340.60
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 | NADIA VARGAS |
| Role on the policy | Subscriber |
| Policy | B05M000836 |
| Date of birth | 5 May 1956 |
| Plan | BRONZE EPO |
| Covered from | 8 May 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 340.60 |
| Total | 340.60 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003545 | 17 May 2026 | 204.00 | CASCADE CARE | Not denied | — |
| CLM0003543 | 4 May 2026 | 524.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 0.00 |
| CLM0003544 | 17 Nov 2025 | 650.00 | CASCADE CARE | Not denied | — |