PRIYA TANAKA
Dependent on policy B03M000390
Claims
2
Attributed to this person
Charged
880.00
Total submitted
Denied
803.00
1 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 | PRIYA TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000390 |
| Date of birth | 7 Sep 1954 |
| Plan | GOLD PPO |
| Covered from | 22 Oct 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 |
|---|---|---|---|---|---|
| CLM0001581 | 25 Oct 2025 | 803.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 803.00 |
| CLM0001582 | 2 Nov 2024 | 77.00 | MERIDIAN HEALTH PLAN | Not denied | — |