NADIA LOPEZ
Dependent on policy B06M000405
Claims
3
Attributed to this person
Charged
1,467.00
Total submitted
Denied
477.00
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
| Field | Value |
|---|---|
| Name | NADIA LOPEZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000405 |
| Date of birth | 19 May 1990 |
| Plan | SILVER HMO |
| Covered from | 10 Apr 2025 |
| Covered to | 14 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001842 | 27 Nov 2025 | 788.00 | CASCADE CARE | Not denied | — |
| CLM0001843 | 21 May 2025 | 202.00 | CASCADE CARE | Not denied | — |
| CLM0001844 | 25 Mar 2025 | 477.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 477.00 |