OMAR NGUYEN
Subscriber on policy B10M000454
Claims
1
Attributed to this person
Charged
816.00
Total submitted
Denied
300.77
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 | OMAR NGUYEN |
| Role on the policy | Subscriber |
| Policy | B10M000454 |
| Date of birth | 29 Jun 1953 |
| Plan | BRONZE EPO |
| Covered from | 29 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 |
|---|---|---|---|---|---|
| CLM0001880 | 30 May 2026 | 816.00 | CASCADE CARE | CARC 18 · DUPLICATE | 300.77 |