AMARA NGUYEN
Dependent on policy B03M000584
Claims
1
Attributed to this person
Charged
73.00
Total submitted
Denied
73.00
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 | AMARA NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000584 |
| Date of birth | 20 Jul 2011 |
| Plan | BRONZE EPO |
| Covered from | 13 Jul 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 |
|---|---|---|---|---|---|
| CLM0002385 | 30 Sep 2025 | 73.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 73.00 |