DenialIntel

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Members›policy B06M000394›ZARA VARGAS

ZARA VARGAS

Subscriber on policy B06M000394

Claims
3
Attributed to this person
Charged
1,116.00
Total submitted
Denied
0.00
0 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

FieldValue
NameZARA VARGAS
Role on the policySubscriber
PolicyB06M000394
Date of birth25 Jun 1952
PlanGOLD PPO
Covered from1 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000178718 Sep 202594.00NORTHSTAR MUTUALNot denied—
CLM000178614 Dec 2024653.00NORTHSTAR MUTUALNot denied—
CLM00017857 May 2024369.00NORTHSTAR MUTUALNot denied—