KEVIN TANAKA
Subscriber on policy B05M000660
Claims
3
Attributed to this person
Charged
931.00
Total submitted
Denied
486.00
1 denied claims
Patient responsibility
29.00
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 | KEVIN TANAKA |
| Role on the policy | Subscriber |
| Policy | B05M000660 |
| Date of birth | 17 Nov 1977 |
| Plan | GOLD PPO |
| Covered from | 14 Jan 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 29.00 |
| Total | 29.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002845 | 9 Apr 2026 | 300.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0002844 | 14 Jan 2025 | 486.00 | MERIDIAN HEALTH PLAN | CARC 29 · TIMELY_FILING | 486.00 |
| CLM0002846 | 5 Oct 2024 | 145.00 | MERIDIAN HEALTH PLAN | Not denied | — |