KEVIN NGUYEN
Subscriber on policy B10M000488
Claims
1
Attributed to this person
Charged
848.00
Total submitted
Denied
848.00
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 | KEVIN NGUYEN |
| Role on the policy | Subscriber |
| Policy | B10M000488 |
| Date of birth | 13 Aug 1960 |
| Plan | PLATINUM PPO |
| Covered from | 29 May 2024 |
| Covered to | 15 Mar 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002020 | 26 Aug 2024 | 848.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 848.00 |