YUSUF VARGAS
Subscriber on policy B03M000514
Claims
2
Attributed to this person
Charged
402.00
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 | YUSUF VARGAS |
| Role on the policy | Subscriber |
| Policy | B03M000514 |
| Date of birth | 30 Jul 1969 |
| Plan | BRONZE EPO |
| Covered from | 12 Jan 2025 |
| Covered to | 12 Jul 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 |
|---|---|---|---|---|---|
| CLM0002112 | 15 Apr 2025 | 261.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002111 | 18 Jan 2025 | 141.00 | NORTHSTAR MUTUAL | Not denied | — |