LEILA VARGAS
Subscriber on policy B08M000487
Claims
2
Attributed to this person
Charged
838.00
Total submitted
Denied
54.89
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 | LEILA VARGAS |
| Role on the policy | Subscriber |
| Policy | B08M000487 |
| Date of birth | 11 Dec 1956 |
| Plan | SILVER HMO |
| Covered from | 2 May 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 |
|---|---|---|---|---|---|
| CLM0002256 | 3 Feb 2026 | 186.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 54.89 |
| CLM0002255 | 20 Jun 2025 | 652.00 | NORTHSTAR MUTUAL | Not denied | — |