ZARA TANAKA
Dependent on policy B06M000341
Claims
1
Attributed to this person
Charged
566.00
Total submitted
Denied
566.00
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 | ZARA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000341 |
| Date of birth | 24 Jan 1976 |
| 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 |
|---|---|---|---|---|---|
| CLM0001547 | 13 Apr 2025 | 566.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 566.00 |