FIONA NGUYEN
Dependent on policy B06M000057
Claims
2
Attributed to this person
Charged
1,146.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
53.00
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 19 |
| Policy | B06M000057 |
| Date of birth | 2 Dec 2016 |
| Plan | BRONZE EPO |
| Covered from | 21 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 53.00 |
| Total | 53.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000318 | 23 Oct 2025 | 881.00 | CASCADE CARE | Not denied | — |
| CLM0000319 | 30 Jul 2025 | 265.00 | CASCADE CARE | Not denied | — |