WENDY NGUYEN
Subscriber on policy B08M000342
Claims
3
Attributed to this person
Charged
988.00
Total submitted
Denied
290.00
1 denied claims
Patient responsibility
33.45
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 | WENDY NGUYEN |
| Role on the policy | Subscriber |
| Policy | B08M000342 |
| Date of birth | 12 Apr 2003 |
| Plan | BRONZE EPO |
| Covered from | 2 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 33.45 |
| Total | 33.45 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001582 | 30 Sep 2025 | 290.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 290.00 |
| CLM0001581 | 20 Aug 2024 | 223.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001580 | 8 Jun 2024 | 475.00 | MERIDIAN HEALTH PLAN | Not denied | — |