NADIA LOPEZ
Subscriber on policy B08M000412
Claims
3
Attributed to this person
Charged
882.00
Total submitted
Denied
811.00
2 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 | B08M000412 |
| Date of birth | 1 Jan 2000 |
| Plan | BRONZE EPO |
| Covered from | 7 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 |
|---|---|---|---|---|---|
| CLM0001898 | 5 Aug 2026 | 71.00 | CASCADE CARE | Not denied | — |
| CLM0001899 | 4 Mar 2026 | 526.00 | CASCADE CARE | CARC 11 · CODING | 526.00 |
| CLM0001897 | 20 Feb 2026 | 285.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 285.00 |