NADIA TANAKA
Subscriber on policy B02M000795
Claims
3
Attributed to this person
Charged
1,488.00
Total submitted
Denied
1,276.02
3 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 | NADIA TANAKA |
| Role on the policy | Subscriber |
| Policy | B02M000795 |
| Date of birth | 21 Apr 1982 |
| Plan | GOLD PPO |
| Covered from | 26 Jan 2025 |
| Covered to | 18 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003322 | 29 Oct 2025 | 322.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 322.00 |
| CLM0003324 | 3 Sep 2025 | 766.00 | CASCADE CARE | CARC 50 · MEDICAL_NECESSITY | 766.00 |
| CLM0003323 | 7 Mar 2025 | 400.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 188.02 |