FIONA VARGAS
Subscriber on policy B06M000792
Claims
2
Attributed to this person
Charged
736.00
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
| Field | Value |
|---|---|
| Name | FIONA VARGAS |
| Role on the policy | Subscriber |
| Policy | B06M000792 |
| Date of birth | 5 Dec 1963 |
| Plan | SILVER HMO |
| Covered from | 20 Jun 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 |
|---|---|---|---|---|---|
| CLM0003487 | 30 Oct 2024 | 541.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003486 | 22 Jun 2024 | 195.00 | NORTHSTAR MUTUAL | Not denied | — |