FIONA NGUYEN
Dependent on policy B10M000603
Claims
3
Attributed to this person
Charged
999.00
Total submitted
Denied
140.00
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 | FIONA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000603 |
| Date of birth | 22 Jun 1987 |
| Plan | SILVER HMO |
| Covered from | 24 Jun 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 |
|---|---|---|---|---|---|
| CLM0002513 | 5 Apr 2026 | 483.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0002512 | 17 Sep 2025 | 140.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 140.00 |
| CLM0002514 | 23 Aug 2024 | 376.00 | NORTHSTAR MUTUAL | Not denied | — |