NADIA DIAZ
Subscriber on policy B07M000882
Claims
3
Attributed to this person
Charged
1,566.00
Total submitted
Denied
201.55
1 denied claims
Patient responsibility
66.90
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 | Subscriber |
| Policy | B07M000882 |
| Date of birth | 5 Dec 1970 |
| Plan | SILVER HMO |
| Covered from | 27 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 66.90 |
| Total | 66.90 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003658 | 20 Feb 2026 | 446.00 | CASCADE CARE | Not denied | — |
| CLM0003656 | 24 Dec 2025 | 668.00 | CASCADE CARE | CARC 18 · DUPLICATE | 201.55 |
| CLM0003657 | 15 Aug 2025 | 452.00 | CASCADE CARE | Not denied | — |