CARLA TANAKA
Subscriber on policy B01M000559
Claims
3
Attributed to this person
Charged
1,680.00
Total submitted
Denied
728.00
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 | CARLA TANAKA |
| Role on the policy | Subscriber |
| Policy | B01M000559 |
| Date of birth | 13 Sep 1975 |
| Plan | GOLD PPO |
| Covered from | 12 Feb 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 |
|---|---|---|---|---|---|
| CLM0002492 | 11 Jun 2026 | 728.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 728.00 |
| CLM0002493 | 1 Nov 2025 | 365.00 | CASCADE CARE | Not denied | — |
| CLM0002491 | 6 May 2025 | 587.00 | CASCADE CARE | Not denied | — |