RAVI NGUYEN
Subscriber on policy B01M000427
Claims
2
Attributed to this person
Charged
1,314.00
Total submitted
Denied
482.00
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 | RAVI NGUYEN |
| Role on the policy | Subscriber |
| Policy | B01M000427 |
| Date of birth | 19 Sep 1961 |
| Plan | PLATINUM PPO |
| Covered from | 8 Jul 2024 |
| Covered to | 21 Apr 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001878 | 14 Mar 2025 | 832.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001879 | 25 Nov 2024 | 482.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 482.00 |