X12 Ingest & Denial Analytics

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Members›policy B08M000437›FIONA TANAKA

FIONA TANAKA

Dependent on policy B08M000437

Claims
2
Attributed to this person
Charged
918.00
Total submitted
Denied
595.00
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

FieldValue
NameFIONA TANAKA
Role on the policyDependent · relationship 01
PolicyB08M000437
Date of birth11 Dec 1965
PlanPLATINUM PPO
Covered from22 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000200917 Jun 2026323.00MERIDIAN HEALTH PLANNot denied—
CLM000201029 Mar 2026595.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY595.00