PRIYA TANAKA
Dependent on policy B06M000341
Claims
3
Attributed to this person
Charged
1,456.00
Total submitted
Denied
479.45
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 | PRIYA TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000341 |
| Date of birth | 16 Oct 1956 |
| Plan | SILVER HMO |
| Covered from | 17 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 |
|---|---|---|---|---|---|
| CLM0001544 | 17 May 2026 | 670.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001543 | 18 Nov 2025 | 501.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 194.45 |
| CLM0001542 | 16 Jan 2025 | 285.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 285.00 |