YUSUF VARGAS
Dependent on policy B06M000194
Claims
3
Attributed to this person
Charged
1,588.00
Total submitted
Denied
569.00
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 | YUSUF VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000194 |
| Date of birth | 2 Dec 2010 |
| Plan | GOLD PPO |
| Covered from | 16 Feb 2025 |
| Covered to | 15 Aug 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 |
|---|---|---|---|---|---|
| CLM0000945 | 1 Aug 2025 | 659.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000944 | 16 May 2025 | 569.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 569.00 |
| CLM0000943 | 4 Feb 2025 | 360.00 | NORTHSTAR MUTUAL | Not denied | — |