IVAN NGUYEN
Dependent on policy B09M000101
Claims
3
Attributed to this person
Charged
922.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
115.65
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 | IVAN NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000101 |
| Date of birth | 8 May 2017 |
| Plan | GOLD PPO |
| Covered from | 16 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 115.65 |
| Total | 115.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000429 | 29 Jul 2025 | 771.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000428 | 6 Jun 2025 | 67.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000427 | 11 Apr 2025 | 84.00 | MERIDIAN HEALTH PLAN | Not denied | — |