NADIA NGUYEN
Subscriber on policy B03M000828
Claims
3
Attributed to this person
Charged
2,083.00
Total submitted
Denied
449.00
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 | NADIA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B03M000828 |
| Date of birth | 7 Nov 2001 |
| Plan | GOLD PPO |
| Covered from | 9 Mar 2025 |
| Covered to | 5 Jul 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 |
|---|---|---|---|---|---|
| CLM0003560 | 6 Jun 2025 | 894.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003559 | 15 May 2025 | 740.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003561 | 25 Feb 2025 | 449.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 449.00 |