PRIYA TANAKA
Subscriber on policy B07M000008
Claims
3
Attributed to this person
Charged
1,197.00
Total submitted
Denied
453.00
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 | PRIYA TANAKA |
| Role on the policy | Subscriber |
| Policy | B07M000008 |
| Date of birth | 15 Jul 1957 |
| Plan | PLATINUM PPO |
| Covered from | 22 May 2024 |
| Covered to | 13 Jan 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000047 | 14 Jan 2025 | 453.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 453.00 |
| CLM0000045 | 1 Dec 2024 | 328.00 | CASCADE CARE | Not denied | — |
| CLM0000046 | 27 Sep 2024 | 416.00 | CASCADE CARE | Not denied | — |