HENRY VARGAS
Subscriber on policy B04M000567
Claims
1
Attributed to this person
Charged
524.00
Total submitted
Denied
524.00
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 | HENRY VARGAS |
| Role on the policy | Subscriber |
| Policy | B04M000567 |
| Date of birth | 23 Sep 1997 |
| Plan | SILVER HMO |
| Covered from | 5 Mar 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 |
|---|---|---|---|---|---|
| CLM0002480 | 14 Nov 2025 | 524.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 524.00 |