NADIA DIAZ
Subscriber on policy B04M000348
Claims
1
Attributed to this person
Charged
602.00
Total submitted
Denied
602.00
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 | B04M000348 |
| Date of birth | 20 Apr 1971 |
| Plan | GOLD PPO |
| Covered from | 29 Apr 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 |
|---|---|---|---|---|---|
| CLM0001495 | 30 Mar 2025 | 602.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 602.00 |