RAVI VARGAS
Subscriber on policy B03M000217
Claims
1
Attributed to this person
Charged
682.00
Total submitted
Denied
682.00
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 | RAVI VARGAS |
| Role on the policy | Subscriber |
| Policy | B03M000217 |
| Date of birth | 27 May 1974 |
| Plan | BRONZE EPO |
| Covered from | 2 Jun 2025 |
| Covered to | 24 Feb 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000885 | 9 Apr 2026 | 682.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 682.00 |