ZARA TANAKA
Dependent on policy B03M000470
Claims
3
Attributed to this person
Charged
874.00
Total submitted
Denied
63.90
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 | ZARA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B03M000470 |
| Date of birth | 21 Jan 1995 |
| Plan | SILVER HMO |
| Covered from | 9 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 |
|---|---|---|---|---|---|
| CLM0001954 | 25 Apr 2026 | 256.00 | CASCADE CARE | Not denied | — |
| CLM0001952 | 14 Jul 2025 | 160.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 63.90 |
| CLM0001953 | 10 Feb 2025 | 458.00 | CASCADE CARE | Not denied | — |