SOFIA VARGAS
Subscriber on policy B09M000439
Claims
3
Attributed to this person
Charged
1,501.00
Total submitted
Denied
635.14
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 | SOFIA VARGAS |
| Role on the policy | Subscriber |
| Policy | B09M000439 |
| Date of birth | 31 Dec 1991 |
| Plan | SILVER HMO |
| Covered from | 22 Mar 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 |
|---|---|---|---|---|---|
| CLM0001840 | 3 Jul 2026 | 414.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 170.14 |
| CLM0001842 | 2 Jun 2026 | 622.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001841 | 25 Feb 2025 | 465.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 465.00 |