FIONA DIAZ
Subscriber on policy B03M000766
Claims
3
Attributed to this person
Charged
1,868.00
Total submitted
Denied
440.00
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 | FIONA DIAZ |
| Role on the policy | Subscriber |
| Policy | B03M000766 |
| Date of birth | 17 May 1978 |
| Plan | PLATINUM PPO |
| Covered from | 6 Jan 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 |
|---|---|---|---|---|---|
| CLM0003224 | 3 Dec 2025 | 641.00 | CASCADE CARE | Not denied | — |
| CLM0003223 | 11 Mar 2025 | 787.00 | CASCADE CARE | Not denied | — |
| CLM0003222 | 9 Mar 2024 | 440.00 | CASCADE CARE | CARC 11 · CODING | 440.00 |