NADIA NGUYEN
Subscriber on policy B02M000233
Claims
3
Attributed to this person
Charged
1,608.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
25.00
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 | NADIA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B02M000233 |
| Date of birth | 6 Jul 1987 |
| Plan | PLATINUM PPO |
| Covered from | 26 Aug 2024 |
| Covered to | 8 Nov 2024 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 25.00 |
| Total | 25.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001024 | 26 Dec 2024 | 118.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001022 | 23 Sep 2024 | 649.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001023 | 17 Sep 2024 | 841.00 | MERIDIAN HEALTH PLAN | Not denied | — |