IVAN DIAZ
Subscriber on policy B07M000007
Claims
3
Attributed to this person
Charged
1,284.00
Total submitted
Denied
353.88
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 | IVAN DIAZ |
| Role on the policy | Subscriber |
| Policy | B07M000007 |
| Date of birth | 24 Jan 1994 |
| Plan | PLATINUM PPO |
| Covered from | 24 Aug 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 |
|---|---|---|---|---|---|
| CLM0000039 | 3 Aug 2026 | 266.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000040 | 31 Jul 2026 | 740.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 353.88 |
| CLM0000041 | 7 Jun 2026 | 278.00 | MERIDIAN HEALTH PLAN | Not denied | — |