TOMAS YAMADA
Subscriber on policy B07M000863
Claims
3
Attributed to this person
Charged
2,427.00
Total submitted
Denied
1,038.50
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 | TOMAS YAMADA |
| Role on the policy | Subscriber |
| Policy | B07M000863 |
| Date of birth | 16 Jun 1982 |
| Plan | SILVER HMO |
| Covered from | 25 Feb 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 |
|---|---|---|---|---|---|
| CLM0003566 | 27 Jan 2026 | 759.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 759.00 |
| CLM0003565 | 29 Jun 2025 | 806.00 | CASCADE CARE | CARC 26 · ELIGIBILITY | 279.50 |
| CLM0003567 | 16 Mar 2025 | 862.00 | CASCADE CARE | Not denied | — |