LEILA NGUYEN
Subscriber on policy B09M000436
Claims
3
Attributed to this person
Charged
1,594.00
Total submitted
Denied
893.00
1 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 | LEILA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B09M000436 |
| Date of birth | 25 Mar 1989 |
| Plan | BRONZE EPO |
| Covered from | 5 Jul 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 |
|---|---|---|---|---|---|
| CLM0001827 | 14 Oct 2025 | 893.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 893.00 |
| CLM0001825 | 4 Feb 2025 | 396.00 | CASCADE CARE | Not denied | — |
| CLM0001826 | 16 Jun 2024 | 305.00 | CASCADE CARE | Not denied | — |