DAVID TANAKA
Subscriber on policy B02M000259
Claims
2
Attributed to this person
Charged
686.00
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 | DAVID TANAKA |
| Role on the policy | Subscriber |
| Policy | B02M000259 |
| Date of birth | 29 Oct 1976 |
| Plan | GOLD PPO |
| Covered from | 27 Mar 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 |
|---|---|---|---|---|---|
| CLM0001129 | 21 Aug 2026 | 580.00 | CASCADE CARE | Not denied | — |
| CLM0001130 | 10 Apr 2025 | 106.00 | CASCADE CARE | Not denied | — |