RAVI YAMADA
Dependent on policy B06M000021
Claims
2
Attributed to this person
Charged
708.00
Total submitted
Denied
174.00
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 YAMADA |
| Role on the policy | Dependent · relationship 19 |
| Policy | B06M000021 |
| Date of birth | 16 Jun 1994 |
| Plan | BRONZE EPO |
| Covered from | 13 Mar 2025 |
| 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 |
|---|---|---|---|---|---|
| CLM0000135 | 25 Apr 2025 | 534.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000134 | 12 Feb 2025 | 174.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 174.00 |