NADIA TANAKA
Dependent on policy B06M000082
Claims
3
Attributed to this person
Charged
1,034.00
Total submitted
Denied
98.00
1 denied claims
Patient responsibility
167.15
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 | NADIA TANAKA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000082 |
| Date of birth | 5 Jul 2018 |
| Plan | BRONZE EPO |
| Covered from | 5 Dec 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 107.00 |
| CARC 1 · Deductible | 1 | 60.15 |
| Total | 167.15 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000435 | 9 Jul 2026 | 401.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000437 | 22 May 2026 | 98.00 | MERIDIAN HEALTH PLAN | CARC 18 · DUPLICATE | 98.00 |
| CLM0000436 | 16 Jan 2025 | 535.00 | MERIDIAN HEALTH PLAN | Not denied | — |