BRIAN DIAZ
Dependent on policy B06M000462
Claims
3
Attributed to this person
Charged
1,217.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
70.00
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 | Dependent · relationship 01 |
| Policy | B06M000462 |
| Date of birth | 25 Jan 1957 |
| Plan | BRONZE EPO |
| Covered from | 9 Mar 2025 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 70.00 |
| Total | 70.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002089 | 8 Apr 2026 | 579.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002088 | 26 Jul 2025 | 350.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002090 | 14 Jul 2025 | 288.00 | MERIDIAN HEALTH PLAN | Not denied | — |