RAVI TANAKA
Dependent on policy B05M000300
Claims
2
Attributed to this person
Charged
391.00
Total submitted
Denied
325.00
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 | RAVI TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B05M000300 |
| Date of birth | 11 Oct 2014 |
| Plan | PLATINUM PPO |
| Covered from | 23 Mar 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 |
|---|---|---|---|---|---|
| CLM0001248 | 7 Mar 2025 | 66.00 | CASCADE CARE | Not denied | — |
| CLM0001247 | 17 Feb 2025 | 325.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 325.00 |