CARLA NGUYEN
Dependent on policy B01M000368
Claims
3
Attributed to this person
Charged
726.00
Total submitted
Denied
0.00
0 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 | CARLA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000368 |
| Date of birth | 2 Nov 1958 |
| Plan | PLATINUM PPO |
| Covered from | 13 Nov 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 |
|---|---|---|---|---|---|
| CLM0001636 | 14 Jun 2026 | 479.00 | CASCADE CARE | Not denied | — |
| CLM0001635 | 20 Aug 2025 | 177.00 | CASCADE CARE | Not denied | — |
| CLM0001634 | 25 Dec 2024 | 70.00 | CASCADE CARE | Not denied | — |