OMAR TANAKA
Subscriber on policy B06M000531
Claims
2
Attributed to this person
Charged
500.00
Total submitted
Denied
173.00
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 | OMAR TANAKA |
| Role on the policy | Subscriber |
| Policy | B06M000531 |
| Date of birth | 1 Jun 1957 |
| Plan | SILVER HMO |
| Covered from | 20 May 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 |
|---|---|---|---|---|---|
| CLM0002367 | 16 Feb 2026 | 173.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 173.00 |
| CLM0002368 | 17 Oct 2025 | 327.00 | NORTHSTAR MUTUAL | Not denied | — |