X12 Ingest & Denial Analytics

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Members›policy B08M000340›CARLA NGUYEN

CARLA NGUYEN

Dependent on policy B08M000340

Claims
3
Attributed to this person
Charged
1,336.00
Total submitted
Denied
184.00
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

FieldValue
NameCARLA NGUYEN
Role on the policyDependent · relationship 01
PolicyB08M000340
Date of birth16 Jun 1984
PlanBRONZE EPO
Covered from22 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000156713 Jun 2026534.00MERIDIAN HEALTH PLANNot denied—
CLM00015661 May 2026618.00MERIDIAN HEALTH PLANNot denied—
CLM000156824 Nov 2024184.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY184.00