RAVI NGUYEN
Dependent on policy B03M000749
Claims
2
Attributed to this person
Charged
770.00
Total submitted
Denied
171.00
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 | RAVI NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000749 |
| Date of birth | 3 May 1987 |
| Plan | PLATINUM PPO |
| Covered from | 22 Dec 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 |
|---|---|---|---|---|---|
| CLM0003142 | 15 Aug 2025 | 171.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 171.00 |
| CLM0003143 | 22 Jan 2025 | 599.00 | CASCADE CARE | Not denied | — |