RAVI DIAZ
Subscriber on policy B03M000784
Claims
3
Attributed to this person
Charged
2,077.00
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 | RAVI DIAZ |
| Role on the policy | Subscriber |
| Policy | B03M000784 |
| Date of birth | 6 Dec 1966 |
| Plan | PLATINUM PPO |
| Covered from | 12 Dec 2024 |
| 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 |
|---|---|---|---|---|---|
| CLM0003330 | 3 Feb 2026 | 641.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003329 | 15 Apr 2025 | 640.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003331 | 6 Jan 2025 | 796.00 | MERIDIAN HEALTH PLAN | Not denied | — |