NADIA LOPEZ
Dependent on policy B02M000736
Claims
3
Attributed to this person
Charged
702.00
Total submitted
Denied
197.00
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 LOPEZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000736 |
| Date of birth | 15 Jul 1970 |
| Plan | PLATINUM PPO |
| Covered from | 11 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 |
|---|---|---|---|---|---|
| CLM0003078 | 19 Jun 2026 | 168.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003077 | 27 Sep 2025 | 197.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 197.00 |
| CLM0003076 | 10 Apr 2025 | 337.00 | MERIDIAN HEALTH PLAN | Not denied | — |