FIONA VARGAS
Dependent on policy B06M000414
Claims
2
Attributed to this person
Charged
695.00
Total submitted
Denied
695.00
2 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 | FIONA VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000414 |
| Date of birth | 7 Feb 2009 |
| Plan | GOLD PPO |
| Covered from | 21 Jul 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001898 | 24 May 2026 | 242.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 242.00 |
| CLM0001897 | 22 Jun 2025 | 453.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 453.00 |