YUSUF NGUYEN
Subscriber on policy B07M000099
Claims
3
Attributed to this person
Charged
1,791.00
Total submitted
Denied
895.00
1 denied claims
Patient responsibility
35.85
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 | YUSUF NGUYEN |
| Role on the policy | Subscriber |
| Policy | B07M000099 |
| Date of birth | 20 Sep 1959 |
| Plan | BRONZE EPO |
| Covered from | 28 Mar 2025 |
| Covered to | 30 Aug 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 35.85 |
| Total | 35.85 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000406 | 13 Oct 2025 | 895.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 895.00 |
| CLM0000405 | 6 Aug 2025 | 239.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000407 | 5 May 2025 | 657.00 | MERIDIAN HEALTH PLAN | Not denied | — |