FIONA TANAKA
Dependent on policy B06M000590
Claims
2
Attributed to this person
Charged
905.00
Total submitted
Denied
905.00
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 | FIONA TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000590 |
| Date of birth | 16 Jul 1953 |
| Plan | PLATINUM PPO |
| Covered from | 15 Mar 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 |
|---|---|---|---|---|---|
| CLM0002647 | 7 Dec 2025 | 647.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 647.00 |
| CLM0002648 | 28 Oct 2025 | 258.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 258.00 |