HENRY NGUYEN
Dependent on policy B03M000121
Claims
3
Attributed to this person
Charged
982.00
Total submitted
Denied
510.69
3 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 | HENRY NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000121 |
| Date of birth | 1 Oct 1993 |
| Plan | GOLD PPO |
| Covered from | 16 Jan 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000476 | 8 Jun 2026 | 648.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 176.69 |
| CLM0000475 | 26 Apr 2026 | 269.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 269.00 |
| CLM0000477 | 25 Dec 2025 | 65.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 65.00 |