ELENA YAMADA
Subscriber on policy B07M000081
Claims
1
Attributed to this person
Charged
851.00
Total submitted
Denied
423.68
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 | ELENA YAMADA |
| Role on the policy | Subscriber |
| Policy | B07M000081 |
| Date of birth | 20 Apr 1982 |
| Plan | GOLD PPO |
| Covered from | 17 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 |
|---|---|---|---|---|---|
| CLM0000339 | 3 Mar 2026 | 851.00 | NORTHSTAR MUTUAL | CARC 11 · CODING | 423.68 |