MARCUS NGUYEN
Subscriber on policy B07M000268
Claims
3
Attributed to this person
Charged
1,580.00
Total submitted
Denied
24.38
1 denied claims
Patient responsibility
79.05
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 NGUYEN |
| Role on the policy | Subscriber |
| Policy | B07M000268 |
| Date of birth | 27 May 1962 |
| Plan | SILVER HMO |
| Covered from | 23 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 79.05 |
| Total | 79.05 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001156 | 31 Dec 2025 | 294.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001155 | 10 Nov 2024 | 759.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 24.38 |
| CLM0001154 | 14 Aug 2024 | 527.00 | NORTHSTAR MUTUAL | Not denied | — |