X12 Ingest & Denial Analytics

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Members›policy B04M000038›KEVIN NGUYEN

KEVIN NGUYEN

Dependent on policy B04M000038

Claims
1
Attributed to this person
Charged
445.00
Total submitted
Denied
0.00
0 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

FieldValue
NameKEVIN NGUYEN
Role on the policyDependent · relationship 19
PolicyB04M000038
Date of birth10 Jan 2015
PlanGOLD PPO
Covered from23 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000017915 Mar 2025445.00MERIDIAN HEALTH PLANNot denied—