ZARA YAMADA
Subscriber on policy B01M000001
Claims
3
Attributed to this person
Charged
1,148.00
Total submitted
Denied
735.00
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 | ZARA YAMADA |
| Role on the policy | Subscriber |
| Policy | B01M000001 |
| Date of birth | 13 Jan 1995 |
| Plan | SILVER HMO |
| Covered from | 21 Feb 2024 |
| Covered to | 19 Oct 2024 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000007 | 7 Dec 2024 | 371.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 371.00 |
| CLM0000006 | 7 Nov 2024 | 364.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 364.00 |
| CLM0000005 | 10 Apr 2024 | 413.00 | CASCADE CARE | Not denied | — |