UMA TANAKA
Dependent on policy B08M000055
Claims
3
Attributed to this person
Charged
946.00
Total submitted
Denied
473.00
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 | UMA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000055 |
| Date of birth | 21 Jul 2007 |
| Plan | SILVER HMO |
| Covered from | 27 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 |
|---|---|---|---|---|---|
| CLM0000246 | 27 Jul 2025 | 473.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 473.00 |
| CLM0000248 | 5 Dec 2024 | 339.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000247 | 29 Nov 2024 | 134.00 | MERIDIAN HEALTH PLAN | Not denied | — |