VICTOR NGUYEN
Subscriber on policy B07M000535
Claims
3
Attributed to this person
Charged
1,014.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
287.95
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 | VICTOR NGUYEN |
| Role on the policy | Subscriber |
| Policy | B07M000535 |
| Date of birth | 30 Dec 1959 |
| Plan | PLATINUM PPO |
| Covered from | 14 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 287.95 |
| Total | 287.95 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002278 | 16 Oct 2025 | 193.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002277 | 15 Aug 2025 | 378.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002279 | 13 Feb 2025 | 443.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |