LEILA NGUYEN
Dependent on policy B08M000094
Claims
3
Attributed to this person
Charged
1,182.00
Total submitted
Denied
495.00
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 | B08M000094 |
| Date of birth | 11 Aug 1989 |
| Plan | PLATINUM PPO |
| Covered from | 3 Jun 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 |
|---|---|---|---|---|---|
| CLM0000419 | 23 Jan 2026 | 152.00 | CASCADE CARE | Not denied | — |
| CLM0000421 | 20 Dec 2024 | 535.00 | CASCADE CARE | Not denied | — |
| CLM0000420 | 11 Oct 2024 | 495.00 | CASCADE CARE | CARC 18 · DUPLICATE | 495.00 |