BRIAN DIAZ
Subscriber on policy B06M000279
Claims
3
Attributed to this person
Charged
440.00
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 | BRIAN DIAZ |
| Role on the policy | Subscriber |
| Policy | B06M000279 |
| Date of birth | 31 Jul 1978 |
| Plan | SILVER HMO |
| Covered from | 9 Jun 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 |
|---|---|---|---|---|---|
| CLM0001301 | 26 Dec 2025 | 73.00 | CASCADE CARE | Not denied | — |
| CLM0001300 | 8 Nov 2025 | 220.00 | CASCADE CARE | Not denied | — |
| CLM0001302 | 14 May 2025 | 147.00 | CASCADE CARE | Not denied | — |