JULIA VARGAS
Dependent on policy B03M000238
Claims
1
Attributed to this person
Charged
589.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
88.35
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 | JULIA VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000238 |
| Date of birth | 8 Jun 2000 |
| Plan | SILVER HMO |
| Covered from | 18 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 88.35 |
| Total | 88.35 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000968 | 11 Jul 2025 | 589.00 | NORTHSTAR MUTUAL | Not denied | — |