SOFIA TANAKA
Subscriber on policy B09M000042
Claims
1
Attributed to this person
Charged
549.00
Total submitted
Denied
549.00
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 | SOFIA TANAKA |
| Role on the policy | Subscriber |
| Policy | B09M000042 |
| Date of birth | 6 Jul 1967 |
| Plan | PLATINUM PPO |
| Covered from | 11 Dec 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 |
|---|---|---|---|---|---|
| CLM0000200 | 24 May 2026 | 549.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 549.00 |