VICTOR VARGAS
Subscriber on policy B03M000594
Claims
3
Attributed to this person
Charged
1,314.00
Total submitted
Denied
799.00
1 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 | VICTOR VARGAS |
| Role on the policy | Subscriber |
| Policy | B03M000594 |
| Date of birth | 9 Nov 1991 |
| Plan | BRONZE EPO |
| Covered from | 17 Dec 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 |
|---|---|---|---|---|---|
| CLM0002437 | 26 Dec 2025 | 113.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002438 | 27 May 2025 | 402.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002439 | 22 Nov 2024 | 799.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 799.00 |