JULIA DIAZ
Dependent on policy B10M000297
Claims
3
Attributed to this person
Charged
1,269.00
Total submitted
Denied
876.79
3 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 | JULIA DIAZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000297 |
| Date of birth | 13 Oct 1952 |
| Plan | SILVER HMO |
| Covered from | 21 Sep 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 |
|---|---|---|---|---|---|
| CLM0001241 | 23 May 2026 | 624.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 231.79 |
| CLM0001240 | 9 May 2025 | 292.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 292.00 |
| CLM0001242 | 10 Feb 2025 | 353.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 353.00 |