VICTOR TANAKA
Subscriber on policy B03M000347
Claims
3
Attributed to this person
Charged
889.00
Total submitted
Denied
731.77
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 | VICTOR TANAKA |
| Role on the policy | Subscriber |
| Policy | B03M000347 |
| Date of birth | 12 Mar 1951 |
| Plan | BRONZE EPO |
| Covered from | 15 Apr 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 |
|---|---|---|---|---|---|
| CLM0001399 | 29 Aug 2025 | 109.00 | CASCADE CARE | Not denied | — |
| CLM0001397 | 30 Jul 2025 | 684.00 | CASCADE CARE | CARC 18 · DUPLICATE | 684.00 |
| CLM0001398 | 6 May 2025 | 96.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 47.77 |