ZARA TANAKA
Dependent on policy B09M000381
Claims
2
Attributed to this person
Charged
1,047.00
Total submitted
Denied
215.36
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 01 |
| Policy | B09M000381 |
| Date of birth | 19 Dec 1951 |
| Plan | GOLD PPO |
| Covered from | 28 Apr 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 |
|---|---|---|---|---|---|
| CLM0001589 | 16 Dec 2025 | 753.00 | CASCADE CARE | CARC 29 · TIMELY_FILING | 215.36 |
| CLM0001588 | 27 Jul 2025 | 294.00 | CASCADE CARE | Not denied | — |