FIONA VARGAS
Dependent on policy B03M000292
Claims
1
Attributed to this person
Charged
842.00
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 | FIONA VARGAS |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000292 |
| Date of birth | 28 Jul 2012 |
| Plan | GOLD PPO |
| Covered from | 25 Apr 2025 |
| Covered to | 9 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001162 | 17 May 2025 | 842.00 | NORTHSTAR MUTUAL | Not denied | — |