WENDY TANAKA
Subscriber on policy B01M000234
Claims
3
Attributed to this person
Charged
1,935.00
Total submitted
Denied
438.00
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 | WENDY TANAKA |
| Role on the policy | Subscriber |
| Policy | B01M000234 |
| Date of birth | 2 Dec 1950 |
| Plan | PLATINUM PPO |
| Covered from | 22 Feb 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 |
|---|---|---|---|---|---|
| CLM0000989 | 26 May 2025 | 438.00 | NORTHSTAR MUTUAL | CARC 29 · TIMELY_FILING | 438.00 |
| CLM0000988 | 21 Dec 2024 | 706.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000990 | 30 Oct 2024 | 791.00 | NORTHSTAR MUTUAL | Not denied | — |