RAVI VARGAS
Subscriber on policy B03M000438
Claims
2
Attributed to this person
Charged
793.00
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 | RAVI VARGAS |
| Role on the policy | Subscriber |
| Policy | B03M000438 |
| Date of birth | 30 Apr 1967 |
| Plan | BRONZE EPO |
| Covered from | 20 Mar 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 |
|---|---|---|---|---|---|
| CLM0001791 | 28 Dec 2025 | 306.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001792 | 29 Apr 2024 | 487.00 | NORTHSTAR MUTUAL | Not denied | — |