ZARA TANAKA
Dependent on policy B08M000720
Claims
1
Attributed to this person
Charged
599.00
Total submitted
Denied
599.00
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 | ZARA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B08M000720 |
| Date of birth | 11 Apr 2007 |
| Plan | GOLD PPO |
| Covered from | 23 May 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 |
|---|---|---|---|---|---|
| CLM0003244 | 3 Sep 2025 | 599.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 599.00 |