RAVI TANAKA
Dependent on policy B03M000888
Claims
3
Attributed to this person
Charged
2,344.00
Total submitted
Denied
1,033.36
2 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 | RAVI TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000888 |
| Date of birth | 30 Jun 1978 |
| Plan | BRONZE EPO |
| Covered from | 11 May 2025 |
| Covered to | 2 Feb 2026 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003850 | 24 Feb 2026 | 690.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 690.00 |
| CLM0003851 | 8 Dec 2025 | 758.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0003852 | 10 Jun 2025 | 896.00 | MERIDIAN HEALTH PLAN | CARC 26 · ELIGIBILITY | 343.36 |