CARLA DIAZ
Subscriber on policy B01M000369
Claims
1
Attributed to this person
Charged
246.00
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 | CARLA DIAZ |
| Role on the policy | Subscriber |
| Policy | B01M000369 |
| Date of birth | 27 Apr 1969 |
| Plan | SILVER HMO |
| Covered from | 12 May 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 |
|---|---|---|---|---|---|
| CLM0001638 | 28 Nov 2025 | 246.00 | MERIDIAN HEALTH PLAN | Not denied | — |