AMARA YAMADA
Subscriber on policy B06M000228
Claims
3
Attributed to this person
Charged
1,971.00
Total submitted
Denied
844.00
1 denied claims
Patient responsibility
15.00
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 | AMARA YAMADA |
| Role on the policy | Subscriber |
| Policy | B06M000228 |
| Date of birth | 5 Dec 1979 |
| Plan | SILVER HMO |
| Covered from | 9 Nov 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 3 · Copay | 1 | 15.00 |
| Total | 15.00 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001088 | 18 Aug 2026 | 349.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001090 | 26 Apr 2026 | 778.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0001089 | 18 Dec 2024 | 844.00 | NORTHSTAR MUTUAL | CARC 18 · DUPLICATE | 844.00 |