UMA NGUYEN
Subscriber on policy B05M000456
Claims
3
Attributed to this person
Charged
850.00
Total submitted
Denied
600.07
2 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 | UMA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B05M000456 |
| Date of birth | 18 Apr 1992 |
| Plan | BRONZE EPO |
| Covered from | 21 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0001904 | 7 Jun 2026 | 567.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 567.00 |
| CLM0001906 | 16 Nov 2025 | 74.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 33.07 |
| CLM0001905 | 29 Mar 2025 | 209.00 | NORTHSTAR MUTUAL | Not denied | — |