FIONA TANAKA
Subscriber on policy B04M000674
Claims
3
Attributed to this person
Charged
1,016.00
Total submitted
Denied
76.57
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 | FIONA TANAKA |
| Role on the policy | Subscriber |
| Policy | B04M000674 |
| Date of birth | 23 Oct 1951 |
| Plan | PLATINUM PPO |
| Covered from | 27 Sep 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 |
|---|---|---|---|---|---|
| CLM0002937 | 22 Jul 2025 | 254.00 | CASCADE CARE | CARC 96 · NON_COVERED | 76.57 |
| CLM0002939 | 12 Jan 2025 | 389.00 | CASCADE CARE | Not denied | — |
| CLM0002938 | 7 Oct 2024 | 373.00 | CASCADE CARE | Not denied | — |