CARLA TANAKA
Dependent on policy B08M000828
Claims
2
Attributed to this person
Charged
656.00
Total submitted
Denied
0.00
0 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 | CARLA TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000828 |
| Date of birth | 6 Mar 1974 |
| Plan | SILVER HMO |
| Covered from | 28 Aug 2024 |
| Covered to | 6 Apr 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003696 | 31 Jan 2025 | 506.00 | CASCADE CARE | Not denied | — |
| CLM0003695 | 25 Dec 2024 | 150.00 | CASCADE CARE | Not denied | — |