NADIA DIAZ
Subscriber on policy B10M000033
Claims
2
Attributed to this person
Charged
830.00
Total submitted
Denied
248.55
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 DIAZ |
| Role on the policy | Subscriber |
| Policy | B10M000033 |
| Date of birth | 10 Jun 1952 |
| Plan | PLATINUM PPO |
| Covered from | 27 Nov 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 |
|---|---|---|---|---|---|
| CLM0000127 | 11 Feb 2026 | 561.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 181.29 |
| CLM0000128 | 26 May 2025 | 269.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 67.26 |