SOFIA DIAZ
Dependent on policy B10M000203
Claims
3
Attributed to this person
Charged
914.00
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 | SOFIA DIAZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000203 |
| Date of birth | 30 Dec 2010 |
| Plan | PLATINUM PPO |
| Covered from | 15 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 |
|---|---|---|---|---|---|
| CLM0000832 | 17 Jun 2026 | 130.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000833 | 15 Jun 2026 | 448.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000834 | 21 Feb 2025 | 336.00 | NORTHSTAR MUTUAL | Not denied | — |