HENRY TANAKA
Dependent on policy B06M000082
Claims
1
Attributed to this person
Charged
737.00
Total submitted
Denied
737.00
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 | HENRY TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000082 |
| Date of birth | 23 Apr 2018 |
| Plan | BRONZE EPO |
| Covered from | 5 Dec 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 |
|---|---|---|---|---|---|
| CLM0000434 | 30 Mar 2025 | 737.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 737.00 |