AMARA VARGAS
Dependent on policy B02M000576
Claims
3
Attributed to this person
Charged
1,669.00
Total submitted
Denied
83.89
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 | AMARA VARGAS |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000576 |
| Date of birth | 17 Jun 2002 |
| Plan | GOLD 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 |
|---|---|---|---|---|---|
| CLM0002416 | 5 Jun 2025 | 848.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002417 | 6 Mar 2025 | 504.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002415 | 12 Feb 2025 | 317.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 83.89 |