VICTOR NGUYEN
Subscriber on policy B07M000545
Claims
3
Attributed to this person
Charged
1,755.00
Total submitted
Denied
1,256.00
2 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 | VICTOR NGUYEN |
| Role on the policy | Subscriber |
| Policy | B07M000545 |
| Date of birth | 14 Aug 1990 |
| Plan | GOLD PPO |
| Covered from | 28 Jun 2024 |
| Covered to | 5 Dec 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002315 | 17 Dec 2024 | 744.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 744.00 |
| CLM0002314 | 20 Oct 2024 | 499.00 | CASCADE CARE | Not denied | — |
| CLM0002316 | 26 Jun 2024 | 512.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 512.00 |