FIONA DIAZ
Dependent on policy B02M000439
Claims
1
Attributed to this person
Charged
185.00
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 | FIONA DIAZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B02M000439 |
| Date of birth | 1 Oct 1969 |
| Plan | SILVER HMO |
| Covered from | 10 May 2025 |
| Covered to | 21 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001873 | 27 Jul 2025 | 185.00 | CASCADE CARE | Not denied | — |