PRIYA NGUYEN
Subscriber on policy B05M000861
Claims
2
Attributed to this person
Charged
552.00
Total submitted
Denied
448.97
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 | PRIYA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B05M000861 |
| Date of birth | 7 Sep 1995 |
| Plan | SILVER HMO |
| Covered from | 24 Jul 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 |
|---|---|---|---|---|---|
| CLM0003653 | 5 Jan 2026 | 373.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 373.00 |
| CLM0003652 | 27 Nov 2024 | 179.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 75.97 |