NADIA DIAZ
Subscriber on policy B10M000213
Claims
1
Attributed to this person
Charged
60.00
Total submitted
Denied
60.00
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 | NADIA DIAZ |
| Role on the policy | Subscriber |
| Policy | B10M000213 |
| Date of birth | 16 Sep 1985 |
| Plan | BRONZE EPO |
| Covered from | 2 May 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 |
|---|---|---|---|---|---|
| CLM0000865 | 1 Aug 2026 | 60.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 60.00 |