WENDY VARGAS
Subscriber on policy B09M000858
Claims
1
Attributed to this person
Charged
552.00
Total submitted
Denied
222.27
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 | Subscriber |
| Policy | B09M000858 |
| Date of birth | 3 Dec 1968 |
| Plan | BRONZE EPO |
| Covered from | 9 Dec 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 |
|---|---|---|---|---|---|
| CLM0003637 | 22 Aug 2025 | 552.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 222.27 |