WENDY TANAKA
Dependent on policy B08M000674
Claims
2
Attributed to this person
Charged
1,069.00
Total submitted
Denied
446.00
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 | WENDY TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000674 |
| Date of birth | 26 Aug 2016 |
| Plan | GOLD PPO |
| Covered from | 27 Aug 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 |
|---|---|---|---|---|---|
| CLM0003046 | 3 Apr 2026 | 623.00 | CASCADE CARE | Not denied | — |
| CLM0003045 | 28 Feb 2025 | 446.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 446.00 |