TOMAS NGUYEN
Subscriber on policy B08M000340
Claims
1
Attributed to this person
Charged
125.00
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 | TOMAS NGUYEN |
| Role on the policy | Subscriber |
| Policy | B08M000340 |
| Date of birth | 28 Aug 1975 |
| Plan | BRONZE EPO |
| Covered from | 22 Dec 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 |
|---|---|---|---|---|---|
| CLM0001565 | 3 Jun 2026 | 125.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 125.00 |