MARCUS VARGAS
Subscriber on policy B04M000426
Claims
2
Attributed to this person
Charged
904.00
Total submitted
Denied
234.40
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 | MARCUS VARGAS |
| Role on the policy | Subscriber |
| Policy | B04M000426 |
| Date of birth | 9 May 1970 |
| Plan | BRONZE EPO |
| Covered from | 19 Apr 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001829 | 5 Feb 2026 | 718.00 | NORTHSTAR MUTUAL | CARC 50 · MEDICAL_NECESSITY | 234.40 |
| CLM0001828 | 2 Jan 2026 | 186.00 | NORTHSTAR MUTUAL | Not denied | — |