DAVID VARGAS
Subscriber on policy B10M000553
Claims
3
Attributed to this person
Charged
1,018.00
Total submitted
Denied
64.09
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 | DAVID VARGAS |
| Role on the policy | Subscriber |
| Policy | B10M000553 |
| Date of birth | 28 Aug 1968 |
| Plan | PLATINUM PPO |
| Covered from | 5 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 |
|---|---|---|---|---|---|
| CLM0002288 | 13 Jun 2026 | 497.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002289 | 22 Apr 2026 | 294.00 | NORTHSTAR MUTUAL | CARC 109 · COB | 64.09 |
| CLM0002290 | 11 Feb 2026 | 227.00 | NORTHSTAR MUTUAL | Not denied | — |