AMARA TANAKA
Subscriber on policy B07M000802
Claims
2
Attributed to this person
Charged
887.00
Total submitted
Denied
524.00
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 | AMARA TANAKA |
| Role on the policy | Subscriber |
| Policy | B07M000802 |
| Date of birth | 20 Apr 1996 |
| Plan | GOLD PPO |
| Covered from | 17 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 |
|---|---|---|---|---|---|
| CLM0003306 | 13 May 2025 | 524.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 524.00 |
| CLM0003307 | 21 Sep 2024 | 363.00 | CASCADE CARE | Not denied | — |