WENDY VARGAS
Dependent on policy B07M000336
Claims
2
Attributed to this person
Charged
559.00
Total submitted
Denied
446.00
1 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 | WENDY VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000336 |
| Date of birth | 1 Jan 1996 |
| Plan | BRONZE EPO |
| Covered from | 14 Jul 2024 |
| Covered to | 27 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001435 | 2 Feb 2025 | 446.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 446.00 |
| CLM0001434 | 23 Oct 2024 | 113.00 | NORTHSTAR MUTUAL | Not denied | — |