MARCUS TANAKA
Subscriber on policy B03M000219
Claims
3
Attributed to this person
Charged
930.00
Total submitted
Denied
70.00
1 denied claims
Patient responsibility
104.40
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 | MARCUS TANAKA |
| Role on the policy | Subscriber |
| Policy | B03M000219 |
| Date of birth | 14 Dec 1957 |
| Plan | SILVER HMO |
| Covered from | 2 Feb 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 104.40 |
| Total | 104.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000894 | 27 Feb 2026 | 70.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 70.00 |
| CLM0000892 | 23 Jul 2025 | 164.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000893 | 21 Jun 2025 | 696.00 | MERIDIAN HEALTH PLAN | Not denied | — |