TOMAS NGUYEN
Subscriber on policy B07M000236
Claims
3
Attributed to this person
Charged
1,559.00
Total submitted
Denied
626.00
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 | TOMAS NGUYEN |
| Role on the policy | Subscriber |
| Policy | B07M000236 |
| Date of birth | 22 May 1987 |
| Plan | SILVER HMO |
| Covered from | 10 Mar 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 |
|---|---|---|---|---|---|
| CLM0001001 | 16 Apr 2026 | 508.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001000 | 15 Mar 2026 | 626.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 626.00 |
| CLM0001002 | 21 May 2025 | 425.00 | MERIDIAN HEALTH PLAN | Not denied | — |