MARCUS NGUYEN
Subscriber on policy B05M000089
Claims
3
Attributed to this person
Charged
2,472.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
286.80
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 | MARCUS NGUYEN |
| Role on the policy | Subscriber |
| Policy | B05M000089 |
| Date of birth | 5 Oct 1987 |
| Plan | SILVER HMO |
| Covered from | 16 Oct 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 172.20 |
| CARC 1 · Deductible | 1 | 114.60 |
| Total | 286.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000395 | 22 Jul 2026 | 847.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000396 | 5 Jun 2026 | 764.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000397 | 20 Oct 2024 | 861.00 | MERIDIAN HEALTH PLAN | Not denied | — |