MARCUS VARGAS
Dependent on policy B01M000678
Claims
2
Attributed to this person
Charged
1,448.00
Total submitted
Denied
946.33
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 | MARCUS VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000678 |
| Date of birth | 5 Aug 1996 |
| Plan | PLATINUM PPO |
| Covered from | 19 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 |
|---|---|---|---|---|---|
| CLM0003036 | 20 Jan 2026 | 795.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 795.00 |
| CLM0003037 | 19 Jun 2025 | 653.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 151.33 |