NADIA DIAZ
Subscriber on policy B02M000512
Claims
1
Attributed to this person
Charged
781.00
Total submitted
Denied
781.00
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 DIAZ |
| Role on the policy | Subscriber |
| Policy | B02M000512 |
| Date of birth | 1 Dec 1980 |
| Plan | SILVER HMO |
| Covered from | 6 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 |
|---|---|---|---|---|---|
| CLM0002171 | 16 May 2026 | 781.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 781.00 |