NADIA DIAZ
Subscriber on policy B03M000883
Claims
1
Attributed to this person
Charged
311.00
Total submitted
Denied
311.00
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 | B03M000883 |
| Date of birth | 28 Aug 1962 |
| Plan | PLATINUM PPO |
| Covered from | 14 Mar 2025 |
| Covered to | 8 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003821 | 14 Sep 2025 | 311.00 | CASCADE CARE | CARC 109 · COB | 311.00 |