AMARA NGUYEN
Dependent on policy B09M000450
Claims
3
Attributed to this person
Charged
1,678.00
Total submitted
Denied
882.00
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 | AMARA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B09M000450 |
| Date of birth | 22 Dec 1984 |
| Plan | PLATINUM PPO |
| Covered from | 28 Feb 2024 |
| Covered to | 8 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001885 | 10 Oct 2024 | 882.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 882.00 |
| CLM0001884 | 17 Jun 2024 | 362.00 | CASCADE CARE | Not denied | — |
| CLM0001883 | 19 Apr 2024 | 434.00 | CASCADE CARE | Not denied | — |