JULIA NGUYEN
Subscriber on policy B03M000775
Claims
3
Attributed to this person
Charged
884.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
53.40
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 | JULIA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B03M000775 |
| Date of birth | 26 Feb 2002 |
| Plan | PLATINUM PPO |
| Covered from | 13 Sep 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 53.40 |
| Total | 53.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003277 | 15 Mar 2026 | 178.00 | CASCADE CARE | Not denied | — |
| CLM0003278 | 30 Nov 2025 | 356.00 | CASCADE CARE | Not denied | — |
| CLM0003279 | 24 Nov 2024 | 350.00 | CASCADE CARE | Not denied | — |