MARCUS DIAZ
Dependent on policy B10M000713
Claims
2
Attributed to this person
Charged
815.00
Total submitted
Denied
112.00
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 | MARCUS DIAZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B10M000713 |
| Date of birth | 17 Sep 2007 |
| Plan | SILVER HMO |
| Covered from | 5 Mar 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 |
|---|---|---|---|---|---|
| CLM0002995 | 5 Jun 2025 | 703.00 | CASCADE CARE | Not denied | — |
| CLM0002994 | 24 Nov 2024 | 112.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 112.00 |