YUSUF NGUYEN
Dependent on policy B05M000476
Claims
2
Attributed to this person
Charged
421.00
Total submitted
Denied
334.00
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 | YUSUF NGUYEN |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000476 |
| Date of birth | 19 Feb 1992 |
| Plan | GOLD PPO |
| Covered from | 29 Mar 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 |
|---|---|---|---|---|---|
| CLM0002000 | 27 Oct 2025 | 334.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 334.00 |
| CLM0002002 | 31 Jul 2024 | 87.00 | CASCADE CARE | Not denied | — |