OMAR NGUYEN
Subscriber on policy B03M000349
Claims
3
Attributed to this person
Charged
1,625.00
Total submitted
Denied
424.91
2 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 | OMAR NGUYEN |
| Role on the policy | Subscriber |
| Policy | B03M000349 |
| Date of birth | 18 Mar 1989 |
| Plan | BRONZE EPO |
| Covered from | 24 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 |
|---|---|---|---|---|---|
| CLM0001405 | 29 Jun 2026 | 414.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 414.00 |
| CLM0001406 | 29 Mar 2026 | 712.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001404 | 15 Mar 2025 | 499.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 10.91 |