LEILA TANAKA
Subscriber on policy B04M000462
Claims
3
Attributed to this person
Charged
1,525.00
Total submitted
Denied
90.36
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 | LEILA TANAKA |
| Role on the policy | Subscriber |
| Policy | B04M000462 |
| Date of birth | 23 Dec 2000 |
| Plan | GOLD PPO |
| Covered from | 12 Jan 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 |
|---|---|---|---|---|---|
| CLM0001977 | 14 Jun 2026 | 844.00 | CASCADE CARE | Not denied | — |
| CLM0001979 | 2 Dec 2025 | 477.00 | CASCADE CARE | Not denied | — |
| CLM0001978 | 26 Jun 2024 | 204.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 90.36 |