UMA NGUYEN
Subscriber on policy B06M000684
Claims
2
Attributed to this person
Charged
842.00
Total submitted
Denied
117.29
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 | UMA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B06M000684 |
| Date of birth | 1 May 1996 |
| Plan | PLATINUM PPO |
| Covered from | 21 Jan 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 |
|---|---|---|---|---|---|
| CLM0003050 | 12 May 2025 | 499.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 117.29 |
| CLM0003049 | 18 Feb 2025 | 343.00 | CASCADE CARE | Not denied | — |