BRIAN NGUYEN
Dependent on policy B09M000452
Claims
3
Attributed to this person
Charged
1,043.00
Total submitted
Denied
871.00
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 | BRIAN NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B09M000452 |
| Date of birth | 5 Mar 2020 |
| Plan | PLATINUM PPO |
| Covered from | 1 Apr 2024 |
| Covered to | 19 Nov 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 |
|---|---|---|---|---|---|
| CLM0001899 | 9 Dec 2024 | 685.00 | CASCADE CARE | CARC 18 · DUPLICATE | 685.00 |
| CLM0001898 | 18 Oct 2024 | 172.00 | CASCADE CARE | Not denied | — |
| CLM0001900 | 9 Apr 2024 | 186.00 | CASCADE CARE | CARC 18 · DUPLICATE | 186.00 |