PRIYA NGUYEN
Dependent on policy B04M000068
Claims
2
Attributed to this person
Charged
923.00
Total submitted
Denied
632.00
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 | PRIYA NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000068 |
| Date of birth | 24 Nov 2010 |
| Plan | GOLD PPO |
| Covered from | 21 Apr 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 |
|---|---|---|---|---|---|
| CLM0000311 | 6 Nov 2025 | 291.00 | CASCADE CARE | Not denied | — |
| CLM0000312 | 15 Sep 2025 | 632.00 | CASCADE CARE | CARC 18 · DUPLICATE | 632.00 |