SOFIA NGUYEN
Dependent on policy B09M000165
Claims
3
Attributed to this person
Charged
886.00
Total submitted
Denied
189.47
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 | SOFIA NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000165 |
| Date of birth | 22 May 1979 |
| Plan | GOLD PPO |
| Covered from | 14 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 |
|---|---|---|---|---|---|
| CLM0000694 | 27 Dec 2025 | 246.00 | CASCADE CARE | CARC 11 · CODING | 101.47 |
| CLM0000696 | 22 Dec 2025 | 88.00 | CASCADE CARE | CARC 18 · DUPLICATE | 88.00 |
| CLM0000695 | 12 Feb 2025 | 552.00 | CASCADE CARE | Not denied | — |