YUSUF TANAKA
Subscriber on policy B09M000574
Claims
1
Attributed to this person
Charged
263.00
Total submitted
Denied
113.69
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 | YUSUF TANAKA |
| Role on the policy | Subscriber |
| Policy | B09M000574 |
| Date of birth | 3 Jun 2004 |
| Plan | BRONZE EPO |
| Covered from | 1 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 |
|---|---|---|---|---|---|
| CLM0002425 | 20 Jan 2025 | 263.00 | MERIDIAN HEALTH PLAN | CARC 11 · CODING | 113.69 |