RAVI NGUYEN
Subscriber on policy B08M000821
Claims
3
Attributed to this person
Charged
1,772.00
Total submitted
Denied
639.16
2 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 | RAVI NGUYEN |
| Role on the policy | Subscriber |
| Policy | B08M000821 |
| Date of birth | 29 Oct 1960 |
| Plan | BRONZE EPO |
| Covered from | 26 Jul 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 |
|---|---|---|---|---|---|
| CLM0003670 | 14 Feb 2025 | 631.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 631.00 |
| CLM0003668 | 2 Dec 2024 | 705.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 8.16 |
| CLM0003669 | 19 Sep 2024 | 436.00 | CASCADE CARE | Not denied | — |