YUSUF TANAKA
Dependent on policy B03M000709
Claims
2
Attributed to this person
Charged
475.00
Total submitted
Denied
401.00
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 | YUSUF TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B03M000709 |
| Date of birth | 2 Sep 1957 |
| Plan | PLATINUM PPO |
| Covered from | 3 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0002964 | 23 Apr 2026 | 74.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002965 | 31 Oct 2025 | 401.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 401.00 |