LEILA TANAKA
Subscriber on policy B10M000123
Claims
3
Attributed to this person
Charged
889.00
Total submitted
Denied
84.59
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 | LEILA TANAKA |
| Role on the policy | Subscriber |
| Policy | B10M000123 |
| Date of birth | 4 Mar 1974 |
| Plan | BRONZE EPO |
| Covered from | 12 Oct 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 |
|---|---|---|---|---|---|
| CLM0000517 | 16 Jan 2026 | 201.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 84.59 |
| CLM0000516 | 19 Dec 2025 | 546.00 | CASCADE CARE | Not denied | — |
| CLM0000515 | 8 Jul 2025 | 142.00 | CASCADE CARE | Not denied | — |