X12 Ingest & Denial Analytics

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Members›policy B03M000319›FIONA TANAKA

FIONA TANAKA

Dependent on policy B03M000319

Claims
1
Attributed to this person
Charged
471.00
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

FieldValue
NameFIONA TANAKA
Role on the policyDependent · relationship 19
PolicyB03M000319
Date of birth30 Apr 1999
PlanPLATINUM PPO
Covered from16 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00012779 May 2026471.00MERIDIAN HEALTH PLANNot denied—