RAVI NGUYEN
Dependent on policy B07M000766
Claims
3
Attributed to this person
Charged
912.00
Total submitted
Denied
66.10
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 | RAVI NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000766 |
| Date of birth | 19 Dec 1954 |
| Plan | GOLD PPO |
| Covered from | 19 May 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 |
|---|---|---|---|---|---|
| CLM0003181 | 15 Jun 2025 | 203.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 66.10 |
| CLM0003182 | 8 Jun 2025 | 572.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003180 | 28 Oct 2024 | 137.00 | NORTHSTAR MUTUAL | Not denied | — |