DenialIntel

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Members›policy B06M000739›NADIA YAMADA

NADIA YAMADA

Subscriber on policy B06M000739

Claims
3
Attributed to this person
Charged
2,049.00
Total submitted
Denied
661.00
2 denied claims
Patient responsibility
370.50
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

FieldValue
NameNADIA YAMADA
Role on the policySubscriber
PolicyB06M000739
Date of birth5 Sep 1950
PlanSILVER HMO
Covered from19 Mar 2025
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 50 · Other1370.50
Total370.50

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000327825 Apr 2026818.00CASCADE CARENot denied—
CLM000327923 Apr 2026570.00CASCADE CARECARC 50 · MEDICAL_NECESSITY0.00
CLM00032806 Mar 2025661.00CASCADE CARECARC 26 · ELIGIBILITY661.00