OMAR TANAKA
Subscriber on policy B10M000532
Claims
2
Attributed to this person
Charged
536.00
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 | OMAR TANAKA |
| Role on the policy | Subscriber |
| Policy | B10M000532 |
| Date of birth | 25 Dec 2000 |
| Plan | SILVER HMO |
| Covered from | 25 Jan 2024 |
| Covered to | 28 Apr 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002206 | 23 Apr 2024 | 266.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002205 | 10 Feb 2024 | 270.00 | MERIDIAN HEALTH PLAN | Not denied | — |