DAVID NGUYEN
Dependent on policy B10M000724
Claims
3
Attributed to this person
Charged
637.00
Total submitted
Denied
74.00
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 | DAVID NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000724 |
| Date of birth | 4 Jan 1949 |
| Plan | BRONZE EPO |
| Covered from | 28 Mar 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003040 | 23 Jul 2025 | 243.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003039 | 28 Feb 2025 | 74.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 74.00 |
| CLM0003038 | 9 Dec 2024 | 320.00 | MERIDIAN HEALTH PLAN | Not denied | — |