KEVIN YAMADA
Subscriber on policy B08M000022
Claims
3
Attributed to this person
Charged
2,041.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
174.40
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 | KEVIN YAMADA |
| Role on the policy | Subscriber |
| Policy | B08M000022 |
| Date of birth | 31 Dec 1962 |
| Plan | GOLD PPO |
| Covered from | 2 Apr 2024 |
| Covered to | open |
Patient responsibility reported on the 835
| Reason | Adjustments | Amount reported |
|---|---|---|
| CARC 2 · Coinsurance | 1 | 174.40 |
| Total | 174.40 |
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000097 | 29 Dec 2025 | 872.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000095 | 14 Oct 2025 | 536.00 | MERIDIAN HEALTH PLAN | Not denied | — |
| CLM0000096 | 3 Apr 2025 | 633.00 | MERIDIAN HEALTH PLAN | Not denied | — |