MARCUS NGUYEN
Dependent on policy B03M000141
Claims
3
Attributed to this person
Charged
2,073.00
Total submitted
Denied
861.00
2 denied claims
Patient responsibility
425.10
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 | MARCUS NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000141 |
| Date of birth | 26 Nov 1979 |
| Plan | BRONZE EPO |
| Covered from | 25 May 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 425.10 |
| Total | 425.10 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000577 | 1 Aug 2026 | 861.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 861.00 |
| CLM0000576 | 2 Feb 2025 | 558.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000575 | 4 Aug 2024 | 654.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |