GRACE NGUYEN
Dependent on policy B06M000131
Claims
3
Attributed to this person
Charged
1,250.00
Total submitted
Denied
380.00
2 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 | GRACE NGUYEN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000131 |
| Date of birth | 4 Mar 2014 |
| Plan | BRONZE EPO |
| Covered from | 12 Jan 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 |
|---|---|---|---|---|---|
| CLM0000646 | 7 Nov 2025 | 251.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 251.00 |
| CLM0000648 | 28 Apr 2025 | 870.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000647 | 17 Feb 2025 | 129.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 129.00 |