JULIA NGUYEN
Subscriber on policy B04M000236
Claims
3
Attributed to this person
Charged
1,752.00
Total submitted
Denied
722.00
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 | JULIA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B04M000236 |
| Date of birth | 12 May 1990 |
| Plan | BRONZE EPO |
| Covered from | 16 Oct 2024 |
| Covered to | 2 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 |
|---|---|---|---|---|---|
| CLM0001024 | 11 May 2025 | 824.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001026 | 10 Mar 2025 | 206.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001025 | 21 Dec 2024 | 722.00 | NORTHSTAR MUTUAL | CARC 197 · AUTHORIZATION | 722.00 |