DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000663›MARCUS VARGAS

MARCUS VARGAS

Subscriber on policy B06M000663

Claims
1
Attributed to this person
Charged
794.00
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
NameMARCUS VARGAS
Role on the policySubscriber
PolicyB06M000663
Date of birth27 Aug 1975
PlanBRONZE EPO
Covered from14 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00029335 Jul 2025794.00NORTHSTAR MUTUALNot denied—