AMARA NGUYEN
Dependent on policy B09M000577
Claims
3
Attributed to this person
Charged
1,866.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
92.70
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 | AMARA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000577 |
| Date of birth | 29 Jun 1988 |
| Plan | PLATINUM PPO |
| Covered from | 19 Jan 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 92.70 |
| Total | 92.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002437 | 13 Mar 2026 | 748.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002435 | 12 Oct 2025 | 618.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002436 | 16 Aug 2025 | 500.00 | MERIDIAN HEALTH PLAN | Not denied | — |