LEILA TANAKA
Dependent on policy B06M000636
Claims
3
Attributed to this person
Charged
1,524.00
Total submitted
Denied
273.54
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 | LEILA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000636 |
| Date of birth | 6 Oct 1997 |
| Plan | GOLD PPO |
| Covered from | 13 Jun 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 |
|---|---|---|---|---|---|
| CLM0002840 | 24 Aug 2026 | 838.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002842 | 30 Jul 2025 | 605.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 273.54 |
| CLM0002841 | 3 Jun 2025 | 81.00 | MERIDIAN HEALTH PLAN | Not denied | — |