GRACE TANAKA
Subscriber on policy B05M000314
Claims
3
Attributed to this person
Charged
1,245.00
Total submitted
Denied
304.08
2 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 | GRACE TANAKA |
| Role on the policy | Subscriber |
| Policy | B05M000314 |
| Date of birth | 26 Mar 1987 |
| Plan | SILVER HMO |
| Covered from | 27 Jun 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 |
|---|---|---|---|---|---|
| CLM0001306 | 31 Jul 2026 | 224.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0001305 | 25 Mar 2026 | 122.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 122.00 |
| CLM0001304 | 2 Feb 2026 | 899.00 | MERIDIAN HEALTH PLAN | CARC 197 · AUTHORIZATION | 182.08 |