TOMAS NGUYEN
Subscriber on policy B08M000891
Claims
2
Attributed to this person
Charged
967.00
Total submitted
Denied
967.00
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 | TOMAS NGUYEN |
| Role on the policy | Subscriber |
| Policy | B08M000891 |
| Date of birth | 10 Aug 1968 |
| Plan | BRONZE EPO |
| Covered from | 14 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 |
|---|---|---|---|---|---|
| CLM0003980 | 30 Dec 2025 | 888.00 | CASCADE CARE | CARC 18 · DUPLICATE | 888.00 |
| CLM0003981 | 15 Jun 2025 | 79.00 | CASCADE CARE | CARC 18 · DUPLICATE | 79.00 |