VICTOR TANAKA
Subscriber on policy B03M000148
Claims
3
Attributed to this person
Charged
1,190.00
Total submitted
Denied
132.03
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 | VICTOR TANAKA |
| Role on the policy | Subscriber |
| Policy | B03M000148 |
| Date of birth | 28 Dec 1984 |
| Plan | BRONZE EPO |
| Covered from | 25 Jan 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 |
|---|---|---|---|---|---|
| CLM0000607 | 24 May 2026 | 331.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 132.03 |
| CLM0000605 | 19 Nov 2025 | 474.00 | CASCADE CARE | Not denied | — |
| CLM0000606 | 23 Jun 2025 | 385.00 | CASCADE CARE | Not denied | — |