PRIYA DIAZ
Subscriber on policy B06M000411
Claims
2
Attributed to this person
Charged
192.00
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 | PRIYA DIAZ |
| Role on the policy | Subscriber |
| Policy | B06M000411 |
| Date of birth | 26 Nov 1964 |
| Plan | SILVER HMO |
| Covered from | 25 Oct 2024 |
| Covered to | 13 May 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 |
|---|---|---|---|---|---|
| CLM0001876 | 15 Jan 2025 | 131.00 | CASCADE CARE | Not denied | — |
| CLM0001877 | 26 Oct 2024 | 61.00 | CASCADE CARE | Not denied | — |