LEILA NGUYEN
Dependent on policy B09M000317
Claims
3
Attributed to this person
Charged
1,734.00
Total submitted
Denied
730.00
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 | LEILA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000317 |
| Date of birth | 29 Oct 1973 |
| Plan | BRONZE EPO |
| Covered from | 14 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 |
|---|---|---|---|---|---|
| CLM0001304 | 26 Aug 2026 | 236.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001303 | 25 Apr 2026 | 730.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 730.00 |
| CLM0001302 | 22 Jun 2025 | 768.00 | NORTHSTAR MUTUAL | Not denied | — |