DAVID NGUYEN
Dependent on policy B07M000249
Claims
2
Attributed to this person
Charged
410.00
Total submitted
Denied
125.00
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 | DAVID NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000249 |
| Date of birth | 11 May 2006 |
| Plan | PLATINUM PPO |
| Covered from | 25 May 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0001058 | 18 May 2026 | 125.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 125.00 |
| CLM0001059 | 21 Sep 2025 | 285.00 | MERIDIAN HEALTH PLAN | Not denied | — |