FIONA NGUYEN
Dependent on policy B01M000520
Claims
1
Attributed to this person
Charged
633.00
Total submitted
Denied
243.95
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 | FIONA NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000520 |
| Date of birth | 3 Dec 2010 |
| Plan | SILVER HMO |
| Covered from | 16 Sep 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 |
|---|---|---|---|---|---|
| CLM0002347 | 3 Mar 2026 | 633.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 243.95 |