KEVIN NGUYEN
Dependent on policy B07M000751
Claims
3
Attributed to this person
Charged
1,119.00
Total submitted
Denied
771.00
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 | KEVIN NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B07M000751 |
| Date of birth | 28 Jun 2019 |
| Plan | BRONZE EPO |
| Covered from | 19 Sep 2024 |
| Covered to | 12 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 |
|---|---|---|---|---|---|
| CLM0003114 | 13 Nov 2024 | 348.00 | CASCADE CARE | Not denied | — |
| CLM0003112 | 28 Aug 2024 | 319.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 319.00 |
| CLM0003113 | 20 Aug 2024 | 452.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 452.00 |