YUSUF DIAZ
Subscriber on policy B02M000688
Claims
2
Attributed to this person
Charged
1,515.00
Total submitted
Denied
1,147.59
2 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 | YUSUF DIAZ |
| Role on the policy | Subscriber |
| Policy | B02M000688 |
| Date of birth | 28 Jun 1998 |
| Plan | SILVER HMO |
| Covered from | 18 Mar 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 |
|---|---|---|---|---|---|
| CLM0002902 | 21 Feb 2026 | 815.00 | CASCADE CARE | CARC 18 · DUPLICATE | 815.00 |
| CLM0002903 | 29 Sep 2025 | 700.00 | CASCADE CARE | CARC 96 · NON_COVERED | 332.59 |