FIONA YAMADA
Dependent on policy B07M000487
Claims
3
Attributed to this person
Charged
963.00
Total submitted
Denied
795.00
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 | FIONA YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B07M000487 |
| Date of birth | 24 Jan 1963 |
| Plan | GOLD PPO |
| Covered from | 22 May 2025 |
| Covered to | 2 Sep 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 |
|---|---|---|---|---|---|
| CLM0002080 | 3 Oct 2025 | 434.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 434.00 |
| CLM0002078 | 22 Sep 2025 | 361.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 361.00 |
| CLM0002079 | 31 Aug 2025 | 168.00 | CASCADE CARE | Not denied | — |