JULIA DIAZ
Dependent on policy B01M000100
Claims
3
Attributed to this person
Charged
1,847.00
Total submitted
Denied
146.00
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 | JULIA DIAZ |
| Role on the policy | Dependent · relationship 19 |
| Policy | B01M000100 |
| Date of birth | 4 Sep 2016 |
| Plan | PLATINUM PPO |
| Covered from | 15 Sep 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 |
|---|---|---|---|---|---|
| CLM0000403 | 10 Aug 2026 | 848.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000402 | 20 Sep 2025 | 146.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 146.00 |
| CLM0000404 | 2 Jul 2025 | 853.00 | NORTHSTAR MUTUAL | Not denied | — |