WENDY TANAKA
Dependent on policy B05M000844
Claims
3
Attributed to this person
Charged
1,004.00
Total submitted
Denied
942.00
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 | WENDY TANAKA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B05M000844 |
| Date of birth | 22 Feb 1950 |
| Plan | SILVER HMO |
| Covered from | 8 Feb 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 |
|---|---|---|---|---|---|
| CLM0003579 | 4 Jun 2026 | 62.00 | CASCADE CARE | Not denied | — |
| CLM0003580 | 6 Nov 2025 | 677.00 | CASCADE CARE | CARC 11 · CODING | 677.00 |
| CLM0003578 | 9 Apr 2025 | 265.00 | CASCADE CARE | CARC 197 · AUTHORIZATION | 265.00 |