WENDY NGUYEN
Subscriber on policy B09M000414
Claims
2
Attributed to this person
Charged
956.00
Total submitted
Denied
471.97
2 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 | WENDY NGUYEN |
| Role on the policy | Subscriber |
| Policy | B09M000414 |
| Date of birth | 16 Mar 2002 |
| Plan | SILVER HMO |
| Covered from | 22 Apr 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 |
|---|---|---|---|---|---|
| CLM0001724 | 12 Nov 2025 | 888.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 403.97 |
| CLM0001723 | 19 Aug 2025 | 68.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 68.00 |