SOFIA DIAZ
Dependent on policy B03M000638
Claims
3
Attributed to this person
Charged
1,977.00
Total submitted
Denied
15.27
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 | SOFIA DIAZ |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000638 |
| Date of birth | 19 Apr 1982 |
| Plan | PLATINUM PPO |
| Covered from | 28 Apr 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 |
|---|---|---|---|---|---|
| CLM0002633 | 21 Jun 2026 | 752.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002634 | 19 Jun 2026 | 728.00 | MERIDIAN HEALTH PLAN | CARC 16 · BILLING_ERROR | 15.27 |
| CLM0002635 | 24 Mar 2026 | 497.00 | MERIDIAN HEALTH PLAN | Not denied | — |