HENRY NGUYEN
Subscriber on policy B06M000887
Claims
1
Attributed to this person
Charged
800.00
Total submitted
Denied
800.00
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 | HENRY NGUYEN |
| Role on the policy | Subscriber |
| Policy | B06M000887 |
| Date of birth | 1 Jul 1990 |
| Plan | BRONZE EPO |
| Covered from | 17 Apr 2025 |
| Covered to | 11 Sep 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 |
|---|---|---|---|---|---|
| CLM0003861 | 13 Oct 2025 | 800.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 800.00 |