RAVI VARGAS
Subscriber on policy B10M000228
Claims
3
Attributed to this person
Charged
1,914.00
Total submitted
Denied
1,598.00
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 | RAVI VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000228 |
| Date of birth | 29 Mar 1981 |
| Plan | PLATINUM PPO |
| Covered from | 28 Nov 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 |
|---|---|---|---|---|---|
| CLM0000943 | 10 Aug 2026 | 838.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 838.00 |
| CLM0000942 | 9 Apr 2026 | 760.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 760.00 |
| CLM0000944 | 27 May 2025 | 316.00 | NORTHSTAR MUTUAL | Not denied | — |