RAVI YAMADA
Dependent on policy B08M000007
Claims
2
Attributed to this person
Charged
961.00
Total submitted
Denied
376.00
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 | RAVI YAMADA |
| Role on the policy | Dependent · relationship 01 |
| Policy | B08M000007 |
| Date of birth | 24 Apr 1976 |
| Plan | GOLD PPO |
| Covered from | 21 Mar 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 |
|---|---|---|---|---|---|
| CLM0000036 | 10 Sep 2025 | 585.00 | NORTHSTAR MUTUAL | Not denied | — |
| CLM0000037 | 8 Mar 2025 | 376.00 | NORTHSTAR MUTUAL | CARC 26 · ELIGIBILITY | 376.00 |