BRIAN NGUYEN
Subscriber on policy B10M000032
Claims
1
Attributed to this person
Charged
842.00
Total submitted
Denied
842.00
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 | BRIAN NGUYEN |
| Role on the policy | Subscriber |
| Policy | B10M000032 |
| Date of birth | 16 Apr 1974 |
| Plan | SILVER HMO |
| Covered from | 19 Oct 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 |
|---|---|---|---|---|---|
| CLM0000120 | 27 Nov 2024 | 842.00 | NORTHSTAR MUTUAL | CARC 16 · BILLING_ERROR | 842.00 |