JULIA DIAZ
Dependent on policy B06M000835
Claims
2
Attributed to this person
Charged
926.00
Total submitted
Denied
311.78
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 | JULIA DIAZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000835 |
| Date of birth | 13 Aug 2013 |
| Plan | BRONZE EPO |
| Covered from | 20 Dec 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 |
|---|---|---|---|---|---|
| CLM0003646 | 16 Feb 2026 | 788.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 311.78 |
| CLM0003647 | 26 Nov 2025 | 138.00 | MERIDIAN HEALTH PLAN | Not denied | — |