OMAR DIAZ
Subscriber on policy B06M000542
Claims
3
Attributed to this person
Charged
1,323.00
Total submitted
Denied
797.00
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 | OMAR DIAZ |
| Role on the policy | Subscriber |
| Policy | B06M000542 |
| Date of birth | 10 Nov 1964 |
| Plan | PLATINUM PPO |
| Covered from | 14 Oct 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 |
|---|---|---|---|---|---|
| CLM0002415 | 3 May 2026 | 227.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 92.00 |
| CLM0002414 | 14 Sep 2025 | 391.00 | CASCADE CARE | Not denied | — |
| CLM0002413 | 13 Dec 2024 | 705.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 705.00 |