SOFIA DIAZ
Subscriber on policy B08M000446
Claims
3
Attributed to this person
Charged
1,854.00
Total submitted
Denied
838.00
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 | SOFIA DIAZ |
| Role on the policy | Subscriber |
| Policy | B08M000446 |
| Date of birth | 11 Nov 1969 |
| Plan | BRONZE EPO |
| Covered from | 23 Mar 2025 |
| Covered to | 20 Jul 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002055 | 16 Sep 2025 | 838.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 838.00 |
| CLM0002054 | 15 May 2025 | 794.00 | CASCADE CARE | Not denied | — |
| CLM0002053 | 1 Mar 2025 | 222.00 | CASCADE CARE | Not denied | — |