MARCUS DIAZ
Dependent on policy B04M000695
Claims
3
Attributed to this person
Charged
1,059.00
Total submitted
Denied
227.71
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 | MARCUS DIAZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000695 |
| Date of birth | 2 Aug 1995 |
| Plan | SILVER HMO |
| Covered from | 4 Jun 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 |
|---|---|---|---|---|---|
| CLM0003034 | 25 May 2026 | 80.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003036 | 3 Oct 2025 | 495.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 227.71 |
| CLM0003035 | 17 Jul 2025 | 484.00 | MERIDIAN HEALTH PLAN | Not denied | — |