LEILA NGUYEN
Dependent on policy B08M000111
Claims
2
Attributed to this person
Charged
576.00
Total submitted
Denied
448.00
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 | LEILA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000111 |
| Date of birth | 13 Jul 1952 |
| Plan | PLATINUM PPO |
| Covered from | 15 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 |
|---|---|---|---|---|---|
| CLM0000485 | 29 Mar 2025 | 128.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000484 | 17 Mar 2025 | 448.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 448.00 |