X12 Ingest & Denial Analytics

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Members›policy B08M000439›FIONA TANAKA

FIONA TANAKA

Subscriber on policy B08M000439

Claims
2
Attributed to this person
Charged
1,040.00
Total submitted
Denied
338.00
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 policySubscriber
PolicyB08M000439
Date of birth26 Apr 1983
PlanBRONZE EPO
Covered from3 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000201324 Jul 2026702.00MERIDIAN HEALTH PLANNot denied—
CLM000201413 Feb 2026338.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION338.00