UMA NGUYEN
Subscriber on policy B06M000442
Claims
2
Attributed to this person
Charged
1,321.00
Total submitted
Denied
233.52
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 | UMA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B06M000442 |
| Date of birth | 28 Aug 1951 |
| Plan | PLATINUM PPO |
| Covered from | 11 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 |
|---|---|---|---|---|---|
| CLM0002022 | 10 Nov 2025 | 525.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 233.52 |
| CLM0002021 | 16 Jun 2025 | 796.00 | NORTHSTAR MUTUAL | Not denied | — |