HENRY TANAKA
Subscriber on policy B09M000826
Claims
3
Attributed to this person
Charged
1,707.00
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 | HENRY TANAKA |
| Role on the policy | Subscriber |
| Policy | B09M000826 |
| Date of birth | 25 Jan 1960 |
| Plan | PLATINUM PPO |
| Covered from | 30 Jun 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 |
|---|---|---|---|---|---|
| CLM0003511 | 13 Jul 2025 | 855.00 | CASCADE CARE | Not denied | — |
| CLM0003512 | 18 May 2025 | 600.00 | CASCADE CARE | Not denied | — |
| CLM0003513 | 30 Oct 2024 | 252.00 | CASCADE CARE | Not denied | — |