X12 Ingest & Denial Analytics

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Members›policy B06M000409›GRACE NGUYEN

GRACE NGUYEN

Subscriber on policy B06M000409

Claims
3
Attributed to this person
Charged
1,587.00
Total submitted
Denied
439.00
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

FieldValue
NameGRACE NGUYEN
Role on the policySubscriber
PolicyB06M000409
Date of birth7 May 1956
PlanGOLD PPO
Covered from22 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000186823 Feb 2026710.00MERIDIAN HEALTH PLANNot denied—
CLM000186923 Jan 2026439.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE439.00
CLM000186723 May 2025438.00MERIDIAN HEALTH PLANNot denied—