PRIYA DIAZ
Subscriber on policy B10M000456
Claims
2
Attributed to this person
Charged
627.00
Total submitted
Denied
82.99
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 | PRIYA DIAZ |
| Role on the policy | Subscriber |
| Policy | B10M000456 |
| Date of birth | 26 Nov 1956 |
| Plan | SILVER HMO |
| Covered from | 16 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 |
|---|---|---|---|---|---|
| CLM0001885 | 27 May 2026 | 281.00 | CASCADE CARE | Not denied | — |
| CLM0001884 | 3 Mar 2025 | 346.00 | CASCADE CARE | CARC 11 · CODING | 82.99 |