ELENA NGUYEN
Dependent on policy B02M000182
Claims
2
Attributed to this person
Charged
1,299.00
Total submitted
Denied
789.00
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 | ELENA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000182 |
| Date of birth | 4 Jan 1976 |
| Plan | BRONZE EPO |
| Covered from | 21 Mar 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0000806 | 4 Mar 2026 | 510.00 | CASCADE CARE | Not denied | — |
| CLM0000805 | 15 Jan 2026 | 789.00 | CASCADE CARE | CARC 96 · NON_COVERED | 789.00 |