FIONA TANAKA
Subscriber on policy B04M000530
Claims
3
Attributed to this person
Charged
1,721.00
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 | FIONA TANAKA |
| Role on the policy | Subscriber |
| Policy | B04M000530 |
| Date of birth | 25 Oct 1965 |
| Plan | GOLD PPO |
| Covered from | 22 Apr 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 |
|---|---|---|---|---|---|
| CLM0002303 | 8 Feb 2026 | 633.00 | CASCADE CARE | Not denied | — |
| CLM0002305 | 21 Oct 2025 | 203.00 | CASCADE CARE | Not denied | — |
| CLM0002304 | 6 May 2025 | 885.00 | CASCADE CARE | Not denied | — |