PRIYA TANAKA
Subscriber on policy B02M000120
Claims
2
Attributed to this person
Charged
1,495.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
108.75
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 | PRIYA TANAKA |
| Role on the policy | Subscriber |
| Policy | B02M000120 |
| Date of birth | 9 Nov 1979 |
| Plan | PLATINUM PPO |
| Covered from | 29 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 108.75 |
| Total | 108.75 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000544 | 20 May 2026 | 725.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000545 | 11 Aug 2025 | 770.00 | MERIDIAN HEALTH PLAN | Not denied | — |