MARCUS DIAZ
Subscriber on policy B08M000057
Claims
1
Attributed to this person
Charged
492.00
Total submitted
Denied
215.56
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 | MARCUS DIAZ |
| Role on the policy | Subscriber |
| Policy | B08M000057 |
| Date of birth | 14 Oct 1983 |
| Plan | GOLD PPO |
| Covered from | 14 Jun 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 |
|---|---|---|---|---|---|
| CLM0000254 | 8 Jan 2026 | 492.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 215.56 |