WENDY TANAKA
Subscriber on policy B05M000537
Claims
2
Attributed to this person
Charged
554.00
Total submitted
Denied
160.00
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 | B05M000537 |
| Date of birth | 21 Jun 1969 |
| Plan | BRONZE EPO |
| Covered from | 25 Nov 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 |
|---|---|---|---|---|---|
| CLM0002289 | 24 Oct 2025 | 160.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 160.00 |
| CLM0002290 | 3 Dec 2024 | 394.00 | MERIDIAN HEALTH PLAN | Not denied | — |