CARLA YAMADA
Subscriber on policy B06M000561
Claims
3
Attributed to this person
Charged
572.00
Total submitted
Denied
63.55
1 denied claims
Patient responsibility
46.80
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 | CARLA YAMADA |
| Role on the policy | Subscriber |
| Policy | B06M000561 |
| Date of birth | 13 Nov 1951 |
| Plan | BRONZE EPO |
| Covered from | 27 May 2025 |
| Covered to | 30 Sep 2025 |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 1 · Deductible | 1 | 46.80 |
| Total | 46.80 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002506 | 19 Aug 2025 | 155.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 63.55 |
| CLM0002505 | 5 Jun 2025 | 105.00 | CASCADE CARE | Not denied | — |
| CLM0002504 | 30 Apr 2025 | 312.00 | CASCADE CARE | Not denied | — |