WENDY VARGAS
Dependent on policy B03M000217
Claims
2
Attributed to this person
Charged
921.00
Total submitted
Denied
0.00
0 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 | Dependent · relationship 19 |
| Policy | B03M000217 |
| Date of birth | 17 May 1995 |
| 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 |
|---|---|---|---|---|---|
| CLM0000888 | 17 Oct 2025 | 726.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000887 | 19 Jul 2025 | 195.00 | NORTHSTAR MUTUAL | Not denied | — |