BRIAN DIAZ
Subscriber on policy B04M000108
Claims
3
Attributed to this person
Charged
2,011.00
Total submitted
Denied
220.36
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 | BRIAN DIAZ |
| Role on the policy | Subscriber |
| Policy | B04M000108 |
| Date of birth | 12 Feb 1966 |
| Plan | PLATINUM PPO |
| Covered from | 3 Jul 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 |
|---|---|---|---|---|---|
| CLM0000504 | 9 Jun 2026 | 604.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000505 | 15 Jul 2025 | 522.00 | MERIDIAN HEALTH PLAN | CARC 96 · NON_COVERED | 220.36 |
| CLM0000506 | 10 Mar 2025 | 885.00 | MERIDIAN HEALTH PLAN | Not denied | — |