BRIAN TANAKA
Subscriber on policy B10M000703
Claims
3
Attributed to this person
Charged
1,439.00
Total submitted
Denied
1,006.00
2 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 | BRIAN TANAKA |
| Role on the policy | Subscriber |
| Policy | B10M000703 |
| Date of birth | 13 Feb 1960 |
| Plan | GOLD PPO |
| Covered from | 18 Feb 2024 |
| Covered to | 11 Oct 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 |
|---|---|---|---|---|---|
| CLM0002944 | 19 Aug 2024 | 462.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 462.00 |
| CLM0002943 | 10 May 2024 | 544.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 544.00 |
| CLM0002942 | 26 Mar 2024 | 433.00 | CASCADE CARE | Not denied | — |