YUSUF NGUYEN
Dependent on policy B08M000513
Claims
1
Attributed to this person
Charged
676.00
Total submitted
Denied
676.00
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 | YUSUF NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000513 |
| Date of birth | 2 Dec 1977 |
| Plan | SILVER HMO |
| Covered from | 17 Nov 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 |
|---|---|---|---|---|---|
| CLM0002349 | 1 Jan 2025 | 676.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 676.00 |