AMARA TANAKA
Subscriber on policy B04M000011
Claims
1
Attributed to this person
Charged
354.00
Total submitted
Denied
0.00
0 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 | AMARA TANAKA |
| Role on the policy | Subscriber |
| Policy | B04M000011 |
| Date of birth | 14 Oct 1995 |
| Plan | BRONZE EPO |
| Covered from | 23 Feb 2025 |
| Covered to | 11 Sep 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000054 | 19 Mar 2025 | 354.00 | CASCADE CARE | Not denied | — |