UMA TANAKA
Dependent on policy B08M000439
Claims
3
Attributed to this person
Charged
520.00
Total submitted
Denied
101.00
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 | B08M000439 |
| Date of birth | 19 Feb 2004 |
| Plan | BRONZE EPO |
| Covered from | 3 Jun 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002018 | 5 Jul 2026 | 101.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 101.00 |
| CLM0002019 | 8 Jan 2026 | 187.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002020 | 15 Jun 2025 | 232.00 | MERIDIAN HEALTH PLAN | Not denied | — |