JULIA TANAKA
Dependent on policy B06M000578
Claims
3
Attributed to this person
Charged
1,257.00
Total submitted
Denied
923.00
2 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 TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000578 |
| Date of birth | 20 Jun 1996 |
| Plan | SILVER HMO |
| Covered from | 13 May 2024 |
| Covered to | 8 Aug 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002595 | 23 Jun 2024 | 281.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 281.00 |
| CLM0002594 | 22 Jun 2024 | 334.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002596 | 21 Apr 2024 | 642.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 642.00 |