DAVID YAMADA
Dependent on policy B07M000351
Claims
3
Attributed to this person
Charged
2,071.00
Total submitted
Denied
403.00
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 | DAVID YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000351 |
| Date of birth | 14 Apr 1968 |
| Plan | SILVER HMO |
| Covered from | 3 Jun 2024 |
| Covered to | 17 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001490 | 9 Apr 2025 | 403.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 403.00 |
| CLM0001489 | 1 Aug 2024 | 888.00 | CASCADE CARE | Not denied | — |
| CLM0001488 | 1 Jul 2024 | 780.00 | CASCADE CARE | Not denied | — |