DAVID TANAKA
Subscriber on policy B05M000893
Claims
3
Attributed to this person
Charged
1,709.00
Total submitted
Denied
828.00
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 | DAVID TANAKA |
| Role on the policy | Subscriber |
| Policy | B05M000893 |
| Date of birth | 14 Aug 1977 |
| Plan | GOLD PPO |
| Covered from | 21 May 2025 |
| Covered to | 8 Dec 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0003797 | 14 Sep 2025 | 620.00 | CASCADE CARE | Not denied | — |
| CLM0003798 | 12 Sep 2025 | 261.00 | CASCADE CARE | Not denied | — |
| CLM0003796 | 15 Jul 2025 | 828.00 | CASCADE CARE | CARC 18 · DUPLICATE | 828.00 |