YUSUF NGUYEN
Subscriber on policy B01M000625
Claims
3
Attributed to this person
Charged
1,478.00
Total submitted
Denied
175.00
1 denied claims
Patient responsibility
125.70
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 | YUSUF NGUYEN |
| Role on the policy | Subscriber |
| Policy | B01M000625 |
| Date of birth | 25 May 1963 |
| Plan | PLATINUM PPO |
| Covered from | 2 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 125.70 |
| Total | 125.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002783 | 30 Jan 2026 | 838.00 | CASCADE CARE | Not denied | — |
| CLM0002782 | 5 Oct 2025 | 465.00 | CASCADE CARE | Not denied | — |
| CLM0002784 | 24 Aug 2024 | 175.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 175.00 |