TOMAS YAMADA
Dependent on policy B06M000415
Claims
3
Attributed to this person
Charged
689.00
Total submitted
Denied
253.36
2 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 | TOMAS YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B06M000415 |
| Date of birth | 10 Dec 1962 |
| Plan | GOLD PPO |
| Covered from | 3 Jul 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 |
|---|---|---|---|---|---|
| CLM0001902 | 17 Aug 2025 | 366.00 | CASCADE CARE | Not denied | — |
| CLM0001900 | 6 Jan 2025 | 115.00 | CASCADE CARE | CARC 96 · NON_COVERED | 45.36 |
| CLM0001901 | 17 Jun 2024 | 208.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 208.00 |