AMARA NGUYEN
Subscriber on policy B10M000634
Claims
3
Attributed to this person
Charged
1,694.00
Total submitted
Denied
1,079.00
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 | AMARA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B10M000634 |
| Date of birth | 19 Jan 1957 |
| Plan | SILVER HMO |
| Covered from | 11 Jan 2025 |
| Covered to | 31 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002628 | 13 May 2025 | 615.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002627 | 30 Mar 2025 | 254.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 254.00 |
| CLM0002626 | 14 Jan 2025 | 825.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 825.00 |