KEVIN DIAZ
Subscriber on policy B09M000650
Claims
2
Attributed to this person
Charged
639.00
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 | KEVIN DIAZ |
| Role on the policy | Subscriber |
| Policy | B09M000650 |
| Date of birth | 11 Dec 1986 |
| Plan | PLATINUM PPO |
| Covered from | 5 Feb 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002758 | 6 Oct 2025 | 315.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002757 | 27 May 2025 | 324.00 | MERIDIAN HEALTH PLAN | Not denied | — |