ELENA NGUYEN
Subscriber on policy B08M000796
Claims
2
Attributed to this person
Charged
1,057.00
Total submitted
Denied
170.45
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 | ELENA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B08M000796 |
| Date of birth | 18 Sep 1973 |
| Plan | BRONZE EPO |
| Covered from | 12 Mar 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 |
|---|---|---|---|---|---|
| CLM0003554 | 12 Nov 2025 | 698.00 | CASCADE CARE | Not denied | — |
| CLM0003553 | 20 Oct 2025 | 359.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 170.45 |