GRACE YAMADA
Subscriber on policy B06M000528
Claims
1
Attributed to this person
Charged
817.00
Total submitted
Denied
817.00
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 | GRACE YAMADA |
| Role on the policy | Subscriber |
| Policy | B06M000528 |
| Date of birth | 12 May 1959 |
| Plan | GOLD PPO |
| Covered from | 16 Apr 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 |
|---|---|---|---|---|---|
| CLM0002355 | 4 Jan 2026 | 817.00 | NORTHSTAR MUTUAL | CARC 27 · ELIGIBILITY | 817.00 |