ZARA DIAZ
Dependent on policy B06M000851
Claims
3
Attributed to this person
Charged
1,633.00
Total submitted
Denied
0.00
0 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 | ZARA DIAZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000851 |
| Date of birth | 18 Jan 1948 |
| Plan | PLATINUM PPO |
| Covered from | 27 Jun 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 |
|---|---|---|---|---|---|
| CLM0003720 | 8 Aug 2026 | 202.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003721 | 20 Mar 2026 | 852.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0003719 | 13 Aug 2025 | 579.00 | NORTHSTAR MUTUAL | Not denied | — |