ZARA NGUYEN
Subscriber on policy B02M000895
Claims
2
Attributed to this person
Charged
502.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
64.65
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 | ZARA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B02M000895 |
| Date of birth | 31 Dec 1959 |
| Plan | BRONZE EPO |
| Covered from | 29 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 64.65 |
| Total | 64.65 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003713 | 31 Mar 2026 | 71.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003714 | 15 Oct 2024 | 431.00 | MERIDIAN HEALTH PLAN | Not denied | — |