LEILA NGUYEN
Dependent on policy B10M000270
Claims
1
Attributed to this person
Charged
363.00
Total submitted
Denied
363.00
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 | LEILA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000270 |
| Date of birth | 6 Mar 1962 |
| Plan | GOLD PPO |
| Covered from | 10 May 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 |
|---|---|---|---|---|---|
| CLM0001121 | 13 Nov 2025 | 363.00 | CASCADE CARE | CARC 11 · CODING | 363.00 |