NADIA DIAZ
Dependent on policy B06M000527
Claims
3
Attributed to this person
Charged
970.00
Total submitted
Denied
383.00
2 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 DIAZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000527 |
| Date of birth | 20 Jun 1965 |
| Plan | SILVER HMO |
| Covered from | 14 Aug 2024 |
| Covered to | 10 Mar 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 |
|---|---|---|---|---|---|
| CLM0002352 | 30 Jan 2025 | 239.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 239.00 |
| CLM0002354 | 24 Sep 2024 | 587.00 | CASCADE CARE | Not denied | — |
| CLM0002353 | 2 Sep 2024 | 144.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 144.00 |