NADIA LOPEZ
Subscriber on policy B08M000370
Claims
3
Attributed to this person
Charged
990.00
Total submitted
Denied
0.00
0 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 | NADIA LOPEZ |
| Role on the policy | Subscriber |
| Policy | B08M000370 |
| Date of birth | 28 Sep 1990 |
| Plan | GOLD PPO |
| Covered from | 20 Jul 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 |
|---|---|---|---|---|---|
| CLM0001681 | 28 Apr 2026 | 259.00 | CASCADE CARE | Not denied | — |
| CLM0001680 | 17 Jun 2025 | 667.00 | CASCADE CARE | Not denied | — |
| CLM0001682 | 29 May 2025 | 64.00 | CASCADE CARE | Not denied | — |