NADIA DIAZ
Subscriber on policy B08M000798
Claims
3
Attributed to this person
Charged
1,513.00
Total submitted
Denied
803.00
1 denied claims
Patient responsibility
41.70
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 | B08M000798 |
| Date of birth | 20 Sep 1963 |
| Plan | SILVER HMO |
| Covered from | 3 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 41.70 |
| Total | 41.70 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003559 | 25 Jun 2026 | 432.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003558 | 24 Apr 2026 | 278.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003560 | 9 May 2025 | 803.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 803.00 |