SOFIA NGUYEN
Subscriber on policy B04M000504
Claims
2
Attributed to this person
Charged
660.00
Total submitted
Denied
413.00
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 | SOFIA NGUYEN |
| Role on the policy | Subscriber |
| Policy | B04M000504 |
| Date of birth | 17 Apr 1967 |
| Plan | GOLD PPO |
| Covered from | 12 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002169 | 14 Apr 2026 | 247.00 | CASCADE CARE | Not denied | — |
| CLM0002170 | 28 Nov 2025 | 413.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 413.00 |