RAVI NGUYEN
Subscriber on policy B10M000016
Claims
3
Attributed to this person
Charged
1,050.00
Total submitted
Denied
50.95
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 | RAVI NGUYEN |
| Role on the policy | Subscriber |
| Policy | B10M000016 |
| Date of birth | 3 May 1996 |
| Plan | BRONZE EPO |
| Covered from | 12 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000060 | 8 Aug 2026 | 110.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 50.95 |
| CLM0000059 | 15 Dec 2025 | 673.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000061 | 12 Aug 2025 | 267.00 | MERIDIAN HEALTH PLAN | Not denied | — |