NADIA TANAKA
Dependent on policy B05M000181
Claims
3
Attributed to this person
Charged
1,390.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
200.20
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 | NADIA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000181 |
| Date of birth | 31 May 2008 |
| Plan | PLATINUM PPO |
| Covered from | 14 Mar 2025 |
| Covered to | 23 Dec 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 50 · Other | 1 | 200.20 |
| Total | 200.20 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000767 | 12 Sep 2025 | 232.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000768 | 9 Apr 2025 | 850.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000769 | 17 Feb 2025 | 308.00 | MERIDIAN HEALTH PLAN | CARC 50 · MEDICAL_NECESSITY | 0.00 |