TOMAS VARGAS
Subscriber on policy B06M000620
Claims
3
Attributed to this person
Charged
752.00
Total submitted
Denied
404.37
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 | TOMAS VARGAS |
| Role on the policy | Subscriber |
| Policy | B06M000620 |
| Date of birth | 4 Jun 2000 |
| Plan | SILVER HMO |
| Covered from | 2 May 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002773 | 3 Jan 2026 | 84.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 27.37 |
| CLM0002774 | 23 Jun 2025 | 291.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002772 | 22 Apr 2025 | 377.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 377.00 |