X12 Ingest & Denial Analytics

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Members›policy B10M000291›FIONA TANAKA

FIONA TANAKA

Dependent on policy B10M000291

Claims
1
Attributed to this person
Charged
297.00
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

FieldValue
NameFIONA TANAKA
Role on the policyDependent · relationship 01
PolicyB10M000291
Date of birth25 Mar 1997
PlanGOLD PPO
Covered from5 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000122129 Jun 2025297.00MERIDIAN HEALTH PLANNot denied—