VICTOR TANAKA
Subscriber on policy B07M000238
Claims
3
Attributed to this person
Charged
2,538.00
Total submitted
Denied
845.00
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 | VICTOR TANAKA |
| Role on the policy | Subscriber |
| Policy | B07M000238 |
| Date of birth | 12 Apr 1991 |
| Plan | BRONZE EPO |
| Covered from | 24 Aug 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 |
|---|---|---|---|---|---|
| CLM0001005 | 31 Aug 2025 | 884.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001006 | 14 Apr 2025 | 809.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001007 | 7 Aug 2024 | 845.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 845.00 |