BRIAN TANAKA
Dependent on policy B08M000500
Claims
2
Attributed to this person
Charged
712.00
Total submitted
Denied
559.00
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 | BRIAN TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000500 |
| Date of birth | 23 Aug 1992 |
| Plan | PLATINUM PPO |
| Covered from | 12 Mar 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 |
|---|---|---|---|---|---|
| CLM0002309 | 25 May 2026 | 559.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 559.00 |
| CLM0002308 | 27 Apr 2025 | 153.00 | NORTHSTAR MUTUAL | Not denied | — |