WENDY TANAKA
Dependent on policy B10M000791
Claims
3
Attributed to this person
Charged
2,299.00
Total submitted
Denied
792.46
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 | WENDY TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B10M000791 |
| Date of birth | 12 May 2009 |
| Plan | BRONZE EPO |
| Covered from | 5 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 |
|---|---|---|---|---|---|
| CLM0003342 | 2 Apr 2026 | 879.00 | CASCADE CARE | Not denied | — |
| CLM0003341 | 3 Mar 2025 | 528.00 | CASCADE CARE | CARC 11 · CODING | 528.00 |
| CLM0003340 | 19 Dec 2024 | 892.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 264.46 |