TOMAS TANAKA
Subscriber on policy B06M000532
Claims
1
Attributed to this person
Charged
271.00
Total submitted
Denied
271.00
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 | TOMAS TANAKA |
| Role on the policy | Subscriber |
| Policy | B06M000532 |
| Date of birth | 15 Apr 1993 |
| Plan | GOLD PPO |
| Covered from | 6 Sep 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 |
|---|---|---|---|---|---|
| CLM0002369 | 17 Aug 2024 | 271.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 271.00 |